Sedalia Urgent Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SEDALIA URGENT CARE LLC

Practice address

115 W Broadway Blvd Ste 100
Sedalia, MO 65301-5708

Phone

(660) 951-1091

Fax

(660) 951-1092

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Jorge Guevara

Title

Owner

Phone

(660) 951-1091

Specialties & licenses 2

Addresses

Other names 1

• AMERICAN FAMILY CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 4

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

• Andrea Hansen, FNP

  • Family Nurse Practitioner
  • Sedalia, MO
  • NPI 1649831413
  Medicare reassignment Care Compare group NPD
• Phu T Tran, MD

  • Emergency Medicine Physician
  • Columbia, MO
  • NPI 1427095132
  Medicare reassignment Care Compare group NPD
• Kelly M Polley, P.A.

  • Physician Assistant
  • Columbia, MO
  • NPI 1851706352
  Medicare reassignment Care Compare group
• Anisa Ranay Burdick, FNP-C

  • Family Nurse Practitioner
  • Clinton, MO
  • NPI 1235610395
  Medicare reassignment NPD

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1922548841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W BROADWAY BLVD STE 100",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015708",
            "telephone_number": "660-951-1091",
            "fax_number": "660-951-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BROADWAY BLVD STE 100",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015708",
            "telephone_number": "660-951-1091",
            "fax_number": "660-951-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDALIA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-951-1091"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sedalia Internal Medicine Specialists PC
• Sedalia Nursing Home Co
• Sedalia Optometric Clinic, Inc
• Sedalia Surgery Center, LLC
• Sedalia Urgent Care LLC
• Sedalia Wellness Center, LLC
• Amie Michelle Seitz, DNP, APRN, FNP-BC
• Select Physical Therapy Holdings Inc
• Serc Rehabilitation Partners LLC
• Jennifer Sevier, BC PNP

• Primary Care Clinic/Center in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Primary Care Clinic/Center in Missouri

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

Verify at the official NPI Registry.