Organization Active NPI

Immediate Medical Care Center PLLC

  • Urgent Care Clinic/Center
  • Beaumont, TX
National Provider Identifier
1922479542
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
IMMEDIATE MEDICAL CARE CENTER PLLC
Practice address
4795 College St
Beaumont, TX 77707-3810
Phone
(409) 656-6400
NPI assigned
Oct 8, 2015
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Timothy Lawrence Morrison Sr., APRNNPI 1518076140
Title
Owner
Phone
(409) 842-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

4795 College St
Beaumont, TX 77707-3810

Mailing address

4795 College St
Beaumont, TX 77707-3810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160523002651 TX Part B Supplier - Clinic/Group Practice 4486943966 Receives reassigned benefits from 2 practitioners
Practice locations: Beaumont, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2120241Immediate Medical Care Center, PLLC4795 College Street, Beaumont, TX 77707Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

4795 College St
Beaumont, TX 77707
Phone (409) 656-6400

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": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1922479542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073810",
            "telephone_number": "409-656-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE MEDICAL CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-842-5444",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.