Organization Active NPI

Haymount Urgent Care

  • Urgent Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1740439918
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
135635 Issued in NC
Legal business name
HAYMOUNT URGENT CARE
Practice address
420 Owen Dr
Fayetteville, NC 28304-3430
Phone
(910) 484-1210
Fax
(910) 484-1347
NPI assigned
Sep 12, 2008
Last updated
Mar 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Dr. Robert Allen Clinton Jr., MDNPI 1235222928
Title
Owner
Phone
(910) 484-1210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 135635 NC Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

420 Owen Dr
Fayetteville, NC 28304-3430

Mailing address

420 Owen Dr
Fayetteville, NC 28304-3430
Phone (910) 484-1210

Other identifiers 1

IdentifierTypeStateIssuer
1235222928MedicaidNC

National Provider Directory

National Provider Directory

Locations

1909 Bragg Blvd
Ste 94
Fayetteville, NC 28303
Phone (910) 484-1210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1740439918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043430",
            "telephone_number": "910-484-1210",
            "fax_number": "910-484-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043430",
            "telephone_number": "910-484-1210",
            "fax_number": "910-484-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYMOUNT URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-484-1210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "135635",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235222928",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.