Community Urgent Care Center, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

3006536P Issued in KY

Legal business name

COMMUNITY URGENT CARE CENTER, LLC

Practice address

927 E Broadway Ste B
Louisville, KY 40204-1001

Phone

(502) 749-2900

NPI assigned

Jan 25, 2012

Last updated

Feb 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda S Tucker, APRN

Title

Managing Member

Phone

(812) 989-2564

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1922379734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 E BROADWAY STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041001",
            "telephone_number": "502-749-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 E BROADWAY STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041001",
            "telephone_number": "502-749-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY URGENT CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "812-989-2564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "KY",
            "license": "3006536P",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "KY",
            "license": "3006536P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K020650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Urgent Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.