NPIMap

Organization Active NPI

Urgent Care Northwest, PC

Doing business as MedCenter Fayette, LLC

  • Rural Health Clinic/Center
  • Fayette, AL
National Provider Identifier
1730046764
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
URGENT CARE NORTHWEST, PC
Doing business as
MedCenter Fayette, LLC
Practice address
122 17TH CT NE
Fayette, AL 35555-1353
Phone
(205) 932-7777
Fax
(205) 932-8880
NPI assigned
Jan 9, 2026
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Beth Kohn
Title
Credentialing Specialist
Phone
(727) 776-9642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

122 17TH CT NE
Fayette, AL 35555-1353

Mailing address

122 17TH CT NE
Fayette, AL 35555-1353
Phone (205) 932-7777

Other names 1

  • MedCenter Fayette, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Urgent Care Northwest LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1730046764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 17TH CT NE",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551353",
            "telephone_number": "205-932-7777",
            "fax_number": "205-932-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 17TH CT NE",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551353",
            "telephone_number": "205-932-7777",
            "fax_number": "205-932-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE NORTHWEST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-776-9642"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCenter Fayette, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.