Organization Active NPI

Camc Urgent Care Center

  • Urgent Care Clinic/Center
  • Cross Lanes, WV
National Provider Identifier
1700899226
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
14012 Issued in WV
Legal business name
CAMC URGENT CARE CENTER
Practice address
314 Goff Mountain Rd
Suite 3
Cross Lanes, WV 25313-1415
Phone
(304) 388-7070
NPI assigned
Aug 14, 2006
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Jeff Goode
Title
Administrator
Phone
(304) 388-7784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 14012 WV Primary

Addresses

Primary practice location

314 Goff Mountain Rd
Suite 3
Cross Lanes, WV 25313-1415

Mailing address

314 Goff Mountain Road, Suite 3
Cross Lanes, WV 25313-1415
Phone (304) 388-7070

National Provider Directory

National Provider Directory
Tax ID family
Mark L Douglas MD68 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1700899226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GOFF MOUNTAIN ROAD, SUITE 3",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131415",
            "telephone_number": "304-388-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GOFF MOUNTAIN RD",
            "address_2": "SUITE 3",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131415",
            "telephone_number": "304-388-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMC URGENT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-388-7784"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WV",
            "license": "14012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Lanes, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.