NPIMap

Organization Active NPI

Main Line Urgent Care Medical Group PC

Doing business as CareSTAT Urgent Care Centers

  • Urgent Care Clinic/Center
  • Folsom, PA
National Provider Identifier
1790111284
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MAIN LINE URGENT CARE MEDICAL GROUP PC
Doing business as
CareSTAT Urgent Care Centers
Practice address
213 Morton Ave
Folsom, PA 19033-3023
Phone
(610) 285-9500
Fax
(610) 237-8701
NPI assigned
Sep 17, 2013
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Maurice N ReidNPI 1679573687
Title
Ceo
Phone
(410) 569-0044

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 Primary

Addresses

Primary practice location

213 Morton Ave
Folsom, PA 19033-3023

Mailing address

1505 E Churchville Rd
Bel Air, MD 21014-4742
Phone (410) 420-6970

Other names 1

  • CareSTAT Urgent Care Centers Doing business as

National Provider Directory

National Provider Directory

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": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1790111284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144742",
            "telephone_number": "410-420-6970",
            "fax_number": "410-420-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MORTON AVE",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190333023",
            "telephone_number": "610-285-9500",
            "fax_number": "610-237-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE URGENT CARE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-569-0044"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSTAT Urgent Care Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareSTAT Urgent Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.