NPIMap

Organization Active NPI

Medex Urgent Care, PA

Doing business as MedEx Urgent Care

  • Primary Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1770532897
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
00544 Issued in NC
Legal business name
MEDEX URGENT CARE, PA
Doing business as
MedEx Urgent Care
Practice address
504 Owen Dr
Fayetteville, NC 28304-3417
Phone
(910) 221-3030
NPI assigned
May 8, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mrs. Deborah Thomas
Title
Administrator
Phone
(910) 221-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 00544 NC Primary

Addresses

Primary practice location

504 Owen Dr
Fayetteville, NC 28304-3417

Mailing address

PO Box 42510
Fayetteville, NC 28309-2510
Phone (910) 221-3030

Other identifiers 1

IdentifierTypeStateIssuer
8960876MedicaidNC

Other names 1

  • MedEx Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

4534 Raeford Rd
Fayetteville, NC 28304
Phone (910) 425-5999

Practitioners & affiliated clinicians

Practitioners 8

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1770532897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42510",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283092510",
            "telephone_number": "910-221-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043417",
            "telephone_number": "910-221-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX URGENT CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-221-3030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "00544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8960876",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedEx Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 7, 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.