Tyson Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

0101262714 Issued in VA

Legal business name

TYSON URGENT CARE, LLC

Doing business as

ExpressCare of Ashbrook
ExpressCare of Manassas

Practice address

10068 Dumfries Rd
Manassas, VA 20110

Phone

(410) 616-9027

NPI assigned

Mar 25, 2017

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachelle Shelia Bailey-El

Title

Director

Phone

(410) 616-9027

Specialties & licenses 1

Addresses

Other names 2

• ExpressCare of Ashbrook Doing business as
• ExpressCare of Manassas Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1962933457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 LOCH RAVEN BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868337",
            "telephone_number": "410-616-9027",
            "fax_number": "410-616-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10068 DUMFRIES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "410-616-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY-EL",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "SHELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-616-9027"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": "0101262714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExpressCare of Ashbrook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ExpressCare of Manassas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ExpressCare of Manassas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Manassas, VA
• Providers in Manassas, VA by specialty
• Urgent Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.