Provider Type Icon

NEWBURGH URGENT CARE LLC NPI 1093132821


NPI Information

NPI: 1093132821
Provider Name: NEWBURGH URGENT CARE LLC

Doing Business As: MERCY URGENT CARE

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 15D2154489

Address:
8211 W STATE ROUTE 66
SUITE A
NEWBURGH, IN
ZIP 47630
Phone: (812) 490-0463
Get Directions

NEWBURGH URGENT CARE LLC is a nurse practitioner in Newburgh, IN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NEWBURGH URGENT CARE LLC NPI is 1093132821. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Urgent Care.

The provider's business location address is:

8211 W STATE ROUTE 66
SUITE A
NEWBURGH, IN
ZIP 47630-534
Phone: (812) 490-0463
Fax: (812) 490-0469

The provider's authorized official is John Mcnulty .
The authorized official title is Managing Member and has the following contact phone number (270) 683-2209.

The CLIA number assigned to this NPI record is 15D2154489 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 8/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareNo
2363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201218510AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.