Organization Active NPI

Rapidcare Urgent Care PLLC

  • Family Medicine Physician
  • Detroit Lakes, MN
National Provider Identifier
1760651079
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41391 Issued in MN
Legal business name
RAPIDCARE URGENT CARE PLLC
Practice address
1361 Wenner Road
Detroit Lakes, MN 56501
Phone
(218) 846-9981
Fax
(218) 846-8893
NPI assigned
Feb 21, 2008
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RAPIDCARE URGENT CARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Rodney John Lee, MD
Title
Owner
Phone
(701) 232-6211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41391 MN Primary

Addresses

Primary practice location

1361 Wenner Road
Detroit Lakes, MN 56501

Mailing address

1517 32ND Ave S
Fargo, ND 58103-5905
Phone (701) 232-6211

Other identifiers 1

IdentifierTypeStateIssuer
510066600MedicaidMN

National Provider Directory

National Provider Directory
Part of
Rapidcare

Locations

1517 32nd Ave S
Fargo, ND 58103
Phone (701) 232-6211

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1760651079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035905",
            "telephone_number": "701-232-6211",
            "fax_number": "701-364-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 WENNER ROAD",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "56501",
            "telephone_number": "218-846-9981",
            "fax_number": "218-846-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPIDCARE URGENT CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAPIDCARE URGENT CARE PLLC",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-232-6211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "41391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510066600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.