NPIMap

Organization Active NPI

Prohealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Christiansted, VI
National Provider Identifier
1952936635
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 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
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Dr. Ann Mullings, DNP
Title
Executive Director
Phone
(305) 281-0684

Specialties & licenses 1

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

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200417003165 VI Part B Supplier - Clinic/Group Practice 4385074160 Receives reassigned benefits from 15 practitioners
Practice locations: Christiansted, VI

National Provider Directory

National Provider Directory

Locations

6002 Diamond Ruby
Christiansted, VI 00820
Phone (478) 305-1703

6040 Castle Coakley
Ste 100
Christiansted, VI 00820

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "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

Sources for this page

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