PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC – NPI #1972590073
Clinic/Center

PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC is an AHC clinic located in FORT MILL, SC. NPPES has assigned the NPI number 1972590073 to PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC on October 04, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC is also known by the name BAXTER VILLAGE URGENT CARE. 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 16 years ago on Sep 17, 2010. 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 PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC below.

NPI Profile for
PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC

NPI Number
1972590073
Enumeration Date

(more than 20 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
PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC
Other Name: BAXTER VILLAGE URGENT CARE
Primary location
502 SIXTH BAXTER CROSSING
FORT MILL, SC 29708-6428
Phone: (803) 396-8100 Fax: (803) 396-8040
Mailing address
P.O. BOX 741327
ATLANTA, GA 30384-1327
Phone: (803) 396-8100 Fax: (803) 396-8040
Organization Subpart
No
Authorized Official
JOHN HOLLAND
VICE PRESIDENT
Phone: (469) 893-2030
Updated
Identifiers

Identifiers for PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC

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
MEDICAIDSCGP3889
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)

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.