NPIMap

Organization Active NPI

Elite Urgent Care LLC

  • Urgent Care Clinic/Center
  • Mobile, AL
National Provider Identifier
1922672245
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ELITE URGENT CARE LLC
Practice address
4682 Airport Blvd
Mobile, AL 36608-3124
Phone
(563) 528-1013
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Philip Jones
Title
Ceo
Phone
(563) 528-1013

Specialties & licenses 1

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

Addresses

Primary practice location

4682 Airport Blvd
Mobile, AL 36608-3124

Mailing address

12035 70TH Ave
Blue Grass, IA 52726-9694
Phone (563) 528-1013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313000909 AL Part B Supplier - Clinic/Group Practice 4486028594 Receives reassigned benefits from 10 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

4682 Airport Blvd
Mobile, AL 36608
Phone (251) 342-4900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1922672245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 70TH AVE",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269694",
            "telephone_number": "563-528-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083124",
            "telephone_number": "563-528-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-528-1013"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.