COUNTRY CLUB URGENT CARE CENTER LLC (NPI# 1477954683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477954683 |
| Entity Type | Organization |
| Organization Name | COUNTRY CLUB URGENT CARE CENTER LLC |
| Practice Address |
8041 N Mesa St Suite B-2 El Paso TX 79932-1735 |
| Practice Telephone | 9154742454 |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | TRACY SHORT (PA-C) |
| Authorized Official Telephone | 9154742454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
PA03258 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 39472876 | 05 | |
| NM | 40379761 | 05 | |
| NM | 00825875 | 05 | |
| TX | 218658701 | 05 |
| Street Address |
8041 N MESA ST SUITE B-2 |
| City | EL PASO |
| State | TX |
| Zip Code | 79932-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508269523 | Country Club Medical Center LLC | Internal Medicine | 8041 N Mesa St, Suite B-2, El Paso, TX 79932-1735 | 2014-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932267 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr. Ste 201-202, El Paso, TX 79932 | 2019-06-25 |
| 1730676461 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8041 N Mesa St # A, El Paso, TX 79932 | 2018-04-18 |
| 1134616063 | Barbara Jin Yoon | Nurse Practitioner | 8041 N Mesa St Ste B3, El Paso, TX 79932 | 2018-04-17 |
| 1225540370 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 7825 N. Mesa St., El Paso, TX 79932 | 2017-10-30 |
| 1386187995 | Nec El Paso Upper Valley Emergency Center, Lp | Clinic/Center | 7860 N Mesa St, El Paso, TX 79932 | 2016-11-30 |
| 1356708028 | Monica Fabiola Delgado | Health Educator | 740 Country Club Rd, El Paso, TX 79932 | 2016-01-26 |
| 1558736504 | Laura Castillo Cole | Nurse Practitioner | 5021 Crossroads Drive, El Paso, TX 79932 | 2015-12-02 |
| 1942644224 | Jessica Marie Rymer | Pediatrics | 181 Gus Rallis Dr, El Paso, TX 79932 | 2013-04-17 |
| 1053670323 | Gwendolyn N. Facison | Contractor | 732 Elmwood Ct B, El Paso, TX 79932 | 2012-05-08 |
| 1063780518 | Stacey S Grajeda | Pharmacist | 8050 N Mesa, Walgreens, El Paso, TX 79932 | 2011-12-12 |
| Find all providers in zip 79932 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596566 | Paseo Nuevo Urgent Care Pllc | Clinic/Center | 12350 Paseo Nuevo, El Paso, TX 79928 | 2020-04-10 |
| 1053780536 | Chauburg Pllc | Clinic/Center | 3051 N Zaragoza Rd, El Paso, TX 79938-7921 | 2015-09-15 |
| 1295975027 | Travel Center Clinics | Clinic/Center | 1295 Horizon Blvd, El Paso, TX 79927-8029 | 2009-03-06 |
| 1720266968 | Priority Urgent Care Pa | Clinic/Center | 3080 Joe Battle Blvd, El Paso, TX 79938 | 2008-02-08 |
| 1386833010 | American Current Care, P.a. | Clinic/Center | 6320 Gateway Blvd East, El Paso, TX 79905 | 2007-10-18 |
| 1073164455 | Panacea Urgent Care Pa | Clinic/Center | 10501 Gateway Blvd W Ste 105, El Paso, TX 79925-7929 | 2019-09-26 |
| 1417435827 | El Paso Carenow Urgent Care, Pllc | Clinic/Center | 7845 N Mesa St Ste A, El Paso, TX 79932-1623 | 2018-07-30 |
| 1356861470 | Nuch of Texas | Clinic/Center | 10765 Kenworthy St Ste A, El Paso, TX 79924-1748 | 2017-06-20 |
| 1154665412 | Five Points Urgent Care | Clinic/Center | 2931 Montana Ave, Suite A, El Paso, TX 79903-2409 | 2012-11-26 |
| 1982972899 | After Hours Urgent Care Pllc | Clinic/Center | 11880 Vista Del Sol Dr, Suite B, El Paso, TX 79936-6128 | 2011-12-06 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.