MAIN STREET URGENT CARE – NPI #1255760054
Clinic/Center

MAIN STREET URGENT CARE is an AHC clinic located in BOERNE, TX. NPPES has assigned the NPI number 1255760054 to MAIN STREET URGENT CARE on November 02, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAIN STREET URGENT CARE” is a dba name, the actual legal business name for this organization is QUALITY ACUTE CARE, PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 10 years ago on Sep 08, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAIN STREET URGENT CARE below.

NPI Profile for
QUALITY ACUTE CARE, PA

NPI Number
1255760054
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
QUALITY ACUTE CARE, PA
Doing Business As (dba): MAIN STREET URGENT CARE
Primary location
1421 S MAIN ST
SUITE #111
BOERNE, TX 78006-3321
Phone: (830) 249-9995 Fax: (830) 249-9868
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELISSA DEDMON
ADMINISTRATIVE MANAGER
Phone: (830) 249-9995
Updated
Identifiers

Identifiers for MAIN STREET URGENT CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX342847601
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
363A00000X
- Physician Assistant
TX PA02389
207P00000X
- Emergency Medicine
TX K8182

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.