Organization Active NPI

Exceptional Urgent Care Center I Inc

  • Urgent Care Clinic/Center
  • The Villages, FL
National Provider Identifier
1700898467
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OS8729 Issued in FL
Legal business name
EXCEPTIONAL URGENT CARE CENTER I INC
Practice address
11950 County Road 101
Suite #101
The Villages, FL 32162-9332
Phone
(352) 391-5200
Fax
(352) 391-5903
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Joseph Im, D.O.NPI 1922298454
Title
Director
Phone
(352) 391-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OS8729 FL Primary

Addresses

Primary practice location

11950 County Road 101
Suite #101
The Villages, FL 32162-9332

Mailing address

11950 County Road 101
Suite #101
The Villages, FL 32162-9332
Phone (352) 391-5200

Other identifiers 1

IdentifierTypeStateIssuer
265844500MedicaidFL

National Provider Directory

National Provider Directory

Locations

11950 County Road 101
Ste 101
The Villages, FL 32162
Phone (352) 391-5200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1700898467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "SUITE #101",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629332",
            "telephone_number": "352-391-5200",
            "fax_number": "352-391-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "SUITE #101",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629332",
            "telephone_number": "352-391-5200",
            "fax_number": "352-391-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL URGENT CARE CENTER I INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-391-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "OS8729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265844500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.