Urgent Care Travel, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

URGENT CARE TRAVEL, INC

Practice address

23458 Cool Water Drive
Ruther Glenn, VA 22546

Phone

(310) 471-3753

Fax

(310) 943-2510

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Deborah Katherine Mitchell

Title

Executive Director

Phone

(310) 471-3753

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Henry, ARNP-FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1467012120
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1891246237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 SANTA MONICA BLVD STE 4500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121671",
            "telephone_number": "310-471-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23458 COOL WATER DRIVE",
            "city": "RUTHER GLENN",
            "state": "VA",
            "postal_code": "22546",
            "telephone_number": "310-471-3753",
            "fax_number": "310-943-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE TRAVEL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-471-3753"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.