Organization Active NPI

Care First Urgent Care LLC

  • Urgent Care Clinic/Center
  • Pekin, IN
National Provider Identifier
1962275602
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARE FIRST URGENT CARE LLC
Practice address
7820 S Voyles Rd
Pekin, IN 47165-7035
Phone
(128) 668-6316
Fax
(502) 780-6686
NPI assigned
Nov 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Mr. Ranney D Tucker Jr.
Title
Coo
Phone
(812) 668-6316

Specialties & licenses 1

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

Addresses

Primary practice location

7820 S Voyles Rd
Pekin, IN 47165-7035

Mailing address

7820 S Voyles Rd
Pekin, IN 47165-7035
Phone (812) 668-6316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231219000436 IN Part B Supplier - Clinic/Group Practice 0345690251 Receives reassigned benefits from 2 practitioners
Practice locations: Pekin, IN

National Provider Directory

National Provider Directory

Locations

7820 S Voyles Rd
Pekin, IN 47165
Phone (812) 668-6316

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1962275602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 S VOYLES RD",
            "city": "PEKIN",
            "state": "IN",
            "postal_code": "471657035",
            "telephone_number": "812-668-6316",
            "fax_number": "502-780-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 S VOYLES RD",
            "city": "PEKIN",
            "state": "IN",
            "postal_code": "471657035",
            "telephone_number": "128-668-6316",
            "fax_number": "502-780-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FIRST URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "RANNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "812-668-6316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.