NPIMap

Organization Active NPI

Richland Internal Medicine LLC

Doing business as Urgent Care at Providence

  • General Practice Physician
  • Mount Juliet, TN
National Provider Identifier
1891850780
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RICHLAND INTERNAL MEDICINE LLC
Doing business as
Urgent Care at Providence
Practice address
5002 Crossing Circle
Suite 100
Mt Juliet, TN 37122
Phone
(615) 595-9111
Fax
(615) 758-3791
NPI assigned
Dec 22, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
James P Houser
Title
President and Ceo
Phone
(615) 284-6861

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

5002 Crossing Circle
Suite 100
Mt Juliet, TN 37122

Mailing address

PO Box 24730
Nashville, TN 37202-4730
Phone (615) 386-2300

Other identifiers 1

IdentifierTypeStateIssuer
3374407MedicaidTN

Other names 1

  • Urgent Care at Providence Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

5002 Crossings Cir
Ste 100
Mt Juliet, TN 37122
Phone (615) 515-9111

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1891850780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24730",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372024730",
            "telephone_number": "615-386-2300",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 CROSSING CIRCLE",
            "address_2": "SUITE 100",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-595-9111",
            "fax_number": "615-758-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "615-284-6861"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374407",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care at Providence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.