BOSS URGENT CARE PLLC (NPI# 1700112489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700112489 |
| Entity Type | Organization |
| Organization Name | BOSS URGENT CARE PLLC |
| Practice Address |
4222 Long Beach Rd Se Southport NC 28461-8627 |
| Mailing Address |
Po Box 579 Fuquay Varina NC 27526-0579 |
| Practice Telephone | 9195673139 |
| Practice Fax Number | 9195860933 |
| Mailing Telephone | 9195673139 |
| Mailing Fax Number | 9195860933 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |
| Authorized Official Name | BRENDA BUCK (OFFICE MANAGER) |
| Authorized Official Telephone | 9105771555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | GROUP NPI | 1497080220 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518293208 | Boss Urgent Care Pllc | Clinic/Center | 511 N Raleigh St, Angier, NC 27501-9121 | 2009-10-30 |
| 1194051870 | Boss Urgent Care Pllc | Clinic/Center | 4450 Fayetteville Rd, Raleigh, NC 27603-3612 | 2009-10-30 |
| 1396071072 | Boss Urgent Care Pllc | Clinic/Center | 3396 Six Forks Rd, Raleigh, NC 27609-7233 | 2009-10-30 |
| 1669708343 | Boss Urgent Care Pllc | Clinic/Center | 7212 Gb Alford Hwy, Holly Springs, NC 27540-7661 | 2009-10-30 |
| Street Address |
4222 LONG BEACH RD SE |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-8627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942232665 | Karen Harris Chance | Nurse Practitioner | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2006-07-06 |
| 1194266023 | Amanda Dewitt Reynolds | Nurse Practitioner | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2017-03-10 |
| 1568887818 | J. Arthur Dosher Memorial Hospital | Clinic/Center | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2014-02-24 |
| 1942579339 | Med First Immediate Care & Family Practice, Pa | Clinic/Center | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2011-12-14 |
| 1326350190 | Wilmington Health Pllc | Internal Medicine | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2010-07-09 |
| 1073770939 | Atlantic Urology PC | Urology | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2008-05-19 |
| 1316124845 | John Delamar Schoonmaker | Physician Assistant | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2008-01-28 |
| 1215005459 | Michael Cahn | Surgery | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427561067 | Med First Immediate Care & Family Practice, Pa | Clinic/Center | 5130 Southport Supply Rd Se Ste 101, Southport, NC 28461-9262 | 2017-11-06 |
| 1922414754 | Carolina Comprehensive Health | Clinic/Center | 4654 Long Beach Rd Se, Southport, NC 28461-8799 | 2014-07-01 |
| 1588859342 | Novant Medical Group, Inc. | Clinic/Center | 1456 N Howe St, Suite 100, Southport, NC 28461-2754 | 2007-09-13 |
| 1942304159 | Southport Urgent Care | Clinic/Center | 1456 N Howe St, Southport, NC 28461-2754 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372243 | Urgent Care of Wallace, Pllc | Clinic/Center | 112 Medical Village Dr Ste G, Wallace, NC 28466-1665 | 2020-10-07 |
| 1093325250 | Cdt Healthcare | Clinic/Center | 1011 High Point St, Randleman, NC 27317-7192 | 2020-08-03 |
| 1700409562 | Range Urgent Care, Pllc | Clinic/Center | 201 Nc Highway 9, Black Mountain, NC 28804 | 2020-05-27 |
| 1649899279 | Queens Empire Health | Clinic/Center | 3280 Henderson Dr Ste C-1, Jacksonville, NC 28546-5289 | 2020-04-14 |
| 1255950325 | Northern Hospital District of Surry County | Clinic/Center | 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 | 2020-04-09 |
| 1801453089 | Mediq Urgent Care PC | Clinic/Center | 12201 N Nc Highway 150 Ste 11, Winston Salem, NC 27127-9731 | 2019-05-23 |
| 1144887324 | Bettermed of North Carolina Pllc | Clinic/Center | 2304 Matthews Township Pkwy Ste 104, Matthews, NC 28105-2693 | 2019-05-23 |
| 1992361992 | First Call Medical Group Pllc | Clinic/Center | 210 Charlois Blvd, Winston Salem, NC 27103-1552 | 2019-05-15 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1639661796 | Opportunities Industrialization Center, Inc | Clinic/Center | 260 Albemarle Avenue, Rocky Mount, NC 27801 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
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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.