Active NPI
Meritus Urgent Care, LLC
- Urgent Care Clinic/Center
- Hagerstown, MD
National Provider Identifier
1912645169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MERITUS URGENT CARE, LLC
- Practice address
- 13620 Crayton Blvd Ste a
Hagerstown, MD 21742-2335 - Phone
- (240) 313-3100
- Fax
- (240) 313-3101
- NPI assigned
- May 26, 2022
- Last updated
- Oct 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Repac
- Title
- Cfo
- Phone
- (301) 790-9351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
13620 Crayton Blvd Ste a
Hagerstown, MD 21742-2335
Mailing address
13620 Crayton Blvd Ste a
Hagerstown, MD 21742-2335
Phone (240) 313-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220816002824 | MD | DME Supplier - Physician - Emergency Medicine | 2163582974 | Practice locations: Hagerstown, MD |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physician Assistant
- Hagerstown, MD
- NPI 1265586341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666742400000",
"number": "1912645169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 CRAYTON BLVD STE A",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422335",
"telephone_number": "240-313-3100",
"fax_number": "240-313-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 CRAYTON BLVD STE A",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422335",
"telephone_number": "240-313-3100",
"fax_number": "240-313-3101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERITUS URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A",
"authorized_official_last_name": "REPAC",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "301-790-9351"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.