Fairview Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FAIRVIEW URGENT CARE, LLC

Practice address

4475 West Village Pkwy
Ellenwood, GA 30294

Phone

(716) 580-7208

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Gregory F Daniel, M.D.

Title

Manager

Phone

(716) 580-7208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1962944991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 WEHRLE DR",
            "address_2": "SUITE 400",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217099",
            "telephone_number": "716-580-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 WEST VILLAGE PKWY",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "30294",
            "telephone_number": "716-580-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-580-7208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.