NPIMap

Organization Active NPI

Premier Urgent Care Center, LLC

  • Urgent Care Clinic/Center
  • Wellington, FL
National Provider Identifier
1740501576
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OS8748 Issued in FL
Legal business name
PREMIER URGENT CARE CENTER, LLC
Practice address
1037 S State Road 7
Suite 113
Wellington, FL 33414-6138
Phone
(561) 798-3030
Fax
(561) 798-8242
NPI assigned
Jun 16, 2010
Last updated
May 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. Vincent M Apicella, D.O.NPI 1316929995
Title
Doctor
Phone
(561) 798-3030

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OS8748 FL Primary

Addresses

Primary practice location

1037 S State Road 7
Suite 113
Wellington, FL 33414-6138

Mailing address

1037 S State Road 7
Suite 113
Wellington, FL 33414-6139
Phone (561) 798-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215000553 FL Part B Supplier - Clinic/Group Practice 9133441595 Receives reassigned benefits from 14 practitioners
Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

1037 S State Road 7
Ste 113
Wellington, FL 33414

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1740501576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7",
            "address_2": "SUITE 113",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146139",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7",
            "address_2": "SUITE 113",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146138",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER URGENT CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "APICELLA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-798-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "OS8748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.