Prohealth Urgent Care LLC
Organization Active NPI Urgent Care Clinic/Center · Christiansted, VI
NPI 1952936635 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1952936635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- PROHEALTH URGENT CARE LLC
- Practice address
- 6040 Castle Coakley
Christiansted, VI 00820-5343 - Phone
- (305) 281-0684
- NPI assigned
- Mar 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Ann Mullings, DNP
- Title
- Executive Director
- Phone
- (305) 281-0684
Practitioners 15
-
Suhaila Nawabi, MD
-
Jan L Powell, ARNP
-
Heather Marie Strop, APRN FNP
-
Nicholle C Rothengass, PA-C
-
Jozette C. Matthews, FNP-BC
-
Janette L Bowers, NP
-
Erin Spangler, FNP
-
Claire Lokitis, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200417003165 | VI | Part B Supplier - Clinic/Group Practice | 4385074160 |
Receives reassigned benefits from 15 practitioners Practice locations: Christiansted, VI |
National Provider Directory
Locations
6040 Castle Coakley
Christiansted, VI 00820
Phone (305) 281-0684
6040 Castle Coakley
Ste 100
Christiansted, VI 00820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
6040 Castle Coakley
Christiansted, VI 00820-5343
Mailing address
6002 Diamond Ruby Ste 3-125
Christiansted, VI 00820-5226
Phone (305) 281-0684
NPI Registry JSON
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1952936635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 DIAMOND RUBY STE 3-125",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "008205226",
"telephone_number": "305-281-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 CASTLE COAKLEY",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "008205343",
"telephone_number": "305-281-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-03",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "MULLINGS",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "305-281-0684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Christiansted, VI
- Eduardo Prentice
- Primary Care GYN, PLLC
- Primary Care, PLLC
- Primary Focus Health
- Professional Component Inc
- Quality Medical Equipment & Supplies, Inc.
- R Flippin SC
- Colleen Rajotte
- Lindsay Caroline Ray
- Kelly Redmon
All providers in Christiansted, VI · Urgent Care Clinic/Center in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.