ENTERPRISE URGENT CARE (NPI# 1285180729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285180729 |
| Entity Type | Organization |
| Organization Name | ENTERPRISE URGENT CARE |
| Other Organization Name | IVY CREEK FAMILY CARE OF ENTERPRISE |
| Practice Address |
6582 Boll Weevil Circle Enterprise AL 36330 |
| Practice Telephone | 3343472027 |
| Mailing Telephone | 3343472027 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | MICHAEL D BRUCE (CEO) |
| Authorized Official Telephone | 3345674311 |
| Is Organization Subpart | Y |
| Parent Organization Name | IVY CREEK HEALTHCARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| IVY CREEK FAMILY CARE OF ENTERPRISE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831658350 | Enterprise Urgent Care | Family Medicine | 6582 Boll Weevil Cir, Enterprise, AL 36330-9424 | 2019-03-14 |
| Street Address |
6582 BOLL WEEVIL CIRCLE |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| 1457415473 | Les Wayne Hogan | Contractor | 707 Boll Weevil Circle, Enterprise, AL 36330 | 2006-12-21 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1578183190 | Allegra Healthcare | Clinic/Center | 1116 Mitt Lary Rd, Northport, AL 35475-4978 | 2020-04-23 |
| 1801427018 | Crmc Medical Group LLC | Clinic/Center | 1958 Al Highway 157, Cullman, AL 35058-0609 | 2020-01-28 |
| 1275178600 | Pdq Urgent Care PC | Clinic/Center | 3319c Memorial Pkwy Sw, Huntsville, AL 35801-5342 | 2019-11-08 |
| 1306404777 | Your Kids Urgent Care Alabama | Clinic/Center | 790 Montgomery Hwy Ste 112, Vestavia Hills, AL 35216-1873 | 2019-05-31 |
| 1528548666 | Pediatrics Pm, LLC. | Clinic/Center | 1502 5th Ave S, Birmingham, AL 35233-1615 | 2018-08-17 |
| 1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
| 1205341005 | Rural Urgent Care LLC | Clinic/Center | 1401 Al Hwy 14, Millbrook, AL 36054 | 2017-12-04 |
| 1336662238 | Robertsdale Urgent Care LLC | Clinic/Center | 18557 E Hammond St, Robertsdale, AL 36567-3629 | 2017-07-23 |
| 1013430214 | Rural Urgent Care LLC | Clinic/Center | 2134 Douglas Ave, Brewton, AL 36426 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on ENTERPRISE URGENT CARE.
| 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.