Organization Active NPI

Delco Urgent Care

  • Urgent Care Clinic/Center
  • Delco, NC
National Provider Identifier
1982708293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DELCO URGENT CARE
Practice address
25805 Andrew Jackson Hwy
Delco, NC 28436
Phone
(910) 655-9900
Fax
(910) 655-9907
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William A Gore, PA-C
Title
Owner
Phone
(910) 655-9900

Specialties & licenses 1

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

Addresses

Primary practice location

25805 Andrew Jackson Hwy
Delco, NC 28436

Mailing address

25805 Andrew Jackson Hwy
Delco, NC 28436
Phone (910) 655-9900

National Provider Directory

National Provider Directory

Locations

25805 Andrew Jackson Hwy E
Delco, NC 28436
Phone (910) 470-2468

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982708293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25805 ANDREW JACKSON HWY",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "28436",
            "telephone_number": "910-655-9900",
            "fax_number": "910-655-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25805 ANDREW JACKSON HWY",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "28436",
            "telephone_number": "910-655-9900",
            "fax_number": "910-655-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELCO URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-655-9900",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delco, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.