TENET UNIFOUR URGENT CARE CENTER LLC (NPI# 1528055621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528055621 |
| Entity Type | Organization |
| Organization Name | TENET UNIFOUR URGENT CARE CENTER LLC |
| Other Organization Name | FRYECARE URGENT CARE - CONOVER |
| Practice Address |
1105 Fairgrove Church Rd Se Conover NC 28613-9090 |
| Mailing Address |
P.o. Box 741330 Atlanta GA 30384-1330 |
| Practice Telephone | 8282670551 |
| Practice Fax Number | 8282670351 |
| Mailing Telephone | 8282670551 |
| Mailing Fax Number | 8282670351 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET) |
| Authorized Official Telephone | 4698932153 |
| 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 | BCBS | 01766 | 01 |
| RAILROAD MEDICARE | CG6339 | 01 | |
| NC | 89011F3 | 05 |
| Other Name | Type Code |
|---|---|
| FryeCare Urgent Care - Conover | Doing Business As Name - Organization |
| Street Address |
1105 FAIRGROVE CHURCH RD SE |
| City | CONOVER |
| State | NC |
| Zip Code | 28613-9090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116488 | David Parker Sparks | Family Medicine | 1105 Fairgrove Church Rd Se, Conover, NC 28613-9090 | 2005-06-30 |
| 1962941773 | Dlp Frye Medical Group LLC | Family Medicine | 1105 Fairgrove Church Rd Se, Conover, NC 28613-9090 | 2017-02-14 |
| 1205293842 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 1105 Fairgrove Church Rd Se, Conover, NC 28613-9090 | 2016-01-27 |
| 1720152937 | Erin Ruth Brabandt | Physician Assistant | 1105 Fairgrove Church Rd Se, Conover, NC 28613-9090 | 2006-11-20 |
| 1184686479 | William B Jones II | Emergency Medicine | 1105 Fairgrove Church Rd Se, Conover, NC 28613-9090 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258671 | Samantha Lackey | Hearing Instrument Specialist | 1217-f Nc Highway 16, Conover, NC 28613 | 2020-09-03 |
| 1497313381 | Gjulshana Nurceski | Internal Medicine | 203 1st St East, Conover, NC 28613 | 2019-06-05 |
| 1487162384 | Anthony T Hines | Counselor | 6055 St. Peters Church Road, Conover, NC 28613 | 2018-01-14 |
| 1780195693 | Healthstat Onsite Clinic Hsm Conover | Preventive Medicine | 120 Section House Road, Conover, NC 28613 | 2017-10-18 |
| 1487055612 | Kave Nikbakht | Pharmacist | 201 Zelkova Ct., Wal-mart Pharmacy, Conover, NC 28613 | 2014-09-08 |
| 1326457003 | Michelle Lynn Kirby | Pharmacist | 126 1st Avenue South, Conover, NC 28613 | 2014-08-07 |
| 1255676904 | Norris Franklin Buff | Pharmacist | 498 6th Ave Ne, Conover, NC 28613 | 2012-12-06 |
| 1043560964 | Nicole Elizabeth Flinn | Pharmacist | 508 K 10th Street Nw, Conover, NC 28613 | 2012-09-18 |
| 1508115171 | Jannie Sue Phillips | Occupational Therapist | 2917 14th Ave Ne, Conover, NC 28613 | 2012-08-29 |
| 1861792707 | Susan Kochel Pearce | Physical Therapist | 2372 Eagle Drive, New Beginnings Pediatric Therapy, LLC, Conover, NC 28613 | 2010-10-26 |
| Find all providers in zip 28613 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| 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.