Organization Active NPI

Nevada Urgent Care Network LLC

  • Urgent Care Clinic/Center
  • Sparks, NV
National Provider Identifier
1851915680
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NEVADA URGENT CARE NETWORK LLC
Practice address
5265 Vista Blvd BLDG B
Sparks, NV 89436-0836
Phone
(610) 382-4943
NPI assigned
Jun 8, 2020
Last updated
Jun 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Todd Evans
Title
VP - Phys Operations
Phone
(610) 382-4943

Specialties & licenses 1

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

Addresses

Primary practice location

5265 Vista Blvd BLDG B
Sparks, NV 89436-0836

Mailing address

367 S Gulph Rd
Attn Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (610) 382-4943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201202000391 NV Part B Supplier - Clinic/Group Practice 0941611636 Receives reassigned benefits from 17 practitioners
Practice locations: Reno, NV; Sparks, NV

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5265 Vista Blvd
Bldg B
Sparks, NV 89436
Phone (775) 352-5335

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1851915680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATTN IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "610-382-4943",
            "fax_number": "610-878-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 VISTA BLVD BLDG B",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894360836",
            "telephone_number": "610-382-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA URGENT CARE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VP - PHYS OPERATIONS",
        "authorized_official_telephone_number": "610-382-4943"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.