Organization Active NPI

Community Urgent Care of Madison, Inc.

Doing business as Community Urgent Care

  • Non-Surgical Family Planning Clinic/Center
  • Cullman, AL
National Provider Identifier
1881094209
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
COMMUNITY URGENT CARE OF MADISON, INC.
Doing business as
Community Urgent Care
Practice address
101 1St Ave NE
Suite 150
Cullman, AL 35055-2967
Phone
(256) 734-2977
Fax
(888) 298-8524
NPI assigned
Sep 4, 2014
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Mr. Mary Place III
Title
Credentialing
Phone
(205) 443-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X NU Primary

Addresses

Primary practice location

101 1St Ave NE
Suite 150
Cullman, AL 35055-2967

Mailing address

101 1St Ave NE
Suite 150
Cullman, AL 35055-2967
Phone (256) 734-2977

Other names 1

  • Community Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150302000290 AL Part B Supplier - Clinic/Group Practice 3375869837 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Madison, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

101 1st Ave NE
Ste 150
Cullman, AL 35055
Phone (256) 734-2977

Practitioners & affiliated clinicians

Practitioners 2

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": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1881094209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1ST AVE NE",
            "address_2": "SUITE 150",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350552967",
            "telephone_number": "256-734-2977",
            "fax_number": "888-298-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST AVE NE",
            "address_2": "SUITE 150",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350552967",
            "telephone_number": "256-734-2977",
            "fax_number": "888-298-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY URGENT CARE OF MADISON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "205-443-2559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.