PROFESSIONAL URGENT CARE LLC (NPI# 1922427806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922427806 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL URGENT CARE LLC |
| Practice Address |
6055 N Main Street Rd Webb City MO 64870-7219 |
| Mailing Address |
6031 N Main Street Rd # 395 Webb City MO 64870-7219 |
| Practice Telephone | 6207623809 |
| Practice Fax Number | 6206743808 |
| Mailing Telephone | 4172060900 |
| Mailing Fax Number | 4172060907 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | MRS. ELESHA BROOKE DRAEGER (APRN) |
| Authorized Official Telephone | 6207623809 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
20000152478 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200354220C | 05 | |
| MO | 427487707 | 05 |
| Street Address |
6055 N MAIN STREET RD |
| City | WEBB CITY |
| State | MO |
| Zip Code | 64870-7219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164703153 | Charles Christopher Gossman | Nurse Practitioner | 6055 N Main Street Rd, Webb City, MO 64870-7219 | 2011-09-02 |
| 1619333481 | Forever Young | Clinic/Center | 6055 N Main Street Rd, Webb City, MO 64870-7219 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| 1639528011 | Adrian Esteban Soto | Dentist | 501 S.madison, Suite P, Webb City, MO 64870 | 2016-06-07 |
| 1518107895 | Joanie Marie Hatterman | Specialist/Technologist | 6151 N. Main Street Road, Webb City, MO 64870 | 2009-02-26 |
| 1184846438 | Carthage Assisted Living, LLC | Assisted Living Facility | 4316 N St Louis Rd, Webb City, MO 64870 | 2007-05-03 |
| 1508087768 | Jacqueline Leanne Young | Speech-Language Pathologist | 411 Madison, Webb City, MO 64870 | 2007-05-02 |
| 1689730392 | Mary Ella Parker | Counselor | 1906 Lakeview Dr, Webb City, MO 64870 | 2006-12-28 |
| 1396233748 | Joshua James Reed | Physical Therapist | 501 S Madison St, Webb City, MO 64870 | 2018-05-01 |
| 1790070050 | Hannah Baxter Andrews | Speech-Language Pathologist | 1829 Philadelphia, Webb City, MO 64870-1093 | 2011-06-15 |
| 1477769404 | Bristol Care, Inc. | Assisted Living Facility | 1803 N Main St, Webb City, MO 64870-1193 | 2007-05-15 |
| 1033245790 | Webb City R-7 School District | Speech-Language Pathologist | 411 N Madison St, Webb City, MO 64870-1238 | 2007-02-26 |
| Find all providers in zip 64870 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1639782121 | Veterans Advantage Urgent Care,inc | Clinic/Center | 1901 Washington Ave, Saint Louis, MO 63103-1623 | 2020-08-25 |
| 1356968432 | Total Access Urgent Care, PC | Clinic/Center | 1001 Southern Ridge Ln, Lake Saint Louis, MO 63367-4000 | 2020-07-06 |
| 1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
| 1043855802 | Total Access Urgent Care, PC | Clinic/Center | 915 N Kirkwood Rd, Kirkwood, MO 63122-2665 | 2019-11-15 |
| 1194368019 | Total Access Urgent Care, PC | Clinic/Center | 408 Brothers Dr, Festus, MO 63028-2139 | 2019-10-23 |
| 1073171260 | Total Access Urgent Care, PC | Clinic/Center | 9538 Gravois Rd, Affton, MO 63123-4558 | 2019-06-03 |
| 1699330324 | Urgent Care of Missouri | Clinic/Center | 1721 La Questa Dr Ste 5, Neosho, MO 64850-9000 | 2019-05-08 |
| 1760945059 | Total Access Urgent Care, PC | Clinic/Center | 600 Mid Rivers Mall Dr, Saint Peters, MO 63376-2460 | 2019-04-12 |
| 1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
| 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.