Organization Active NPI

Walk-in and Intermediate Care Clinic

  • Clinic/Center
  • Boaz, AL
National Provider Identifier
1861335382
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WALK-IN AND INTERMEDIATE CARE CLINIC
Practice address
214 S McCleskey St Ste 857
Boaz, AL 35957-2187
Phone
(256) 849-0500
Fax
(256) 905-8483
NPI assigned
Apr 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Dr. Messalina Charisse Jordan, DO
Title
Owner
Phone
(256) 849-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

214 S McCleskey St Ste 857
Boaz, AL 35957-2187

Mailing address

214 S McCleskey St Ste 857
Boaz, AL 35957-2187
Phone (256) 849-0500

National Provider Directory

National Provider Directory
Tax ID family
Walk-in and Intermediate Care Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

214 S McCleskey St
Ste 857
Boaz, AL 35957
Phone (256) 281-1928

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1861335382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S MCCLESKEY ST STE 857",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572187",
            "telephone_number": "256-849-0500",
            "fax_number": "256-905-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MCCLESKEY ST STE 857",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572187",
            "telephone_number": "256-849-0500",
            "fax_number": "256-905-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK-IN AND INTERMEDIATE CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MESSALINA",
        "authorized_official_middle_name": "CHARISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-849-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.