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FULTONDALE URGENT CARE LLC
NPI 1063804052
Clinic/Center in Fultondale, AL

Active since February 27, 2015
339 WALKER CHAPEL PLZ, SUITE 115, FULTONDALE, AL 35068(205) 841-2844 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fultondale Urgent Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULTONDALE URGENT CARE LLC (NPI 1063804052) is a healthcare organization registered as a clinic/center in Fultondale, Alabama and active in the NPI registry since February 2015. The organization lists Doug Randall, Coo, as its authorized official.

NPPES Registry Identity

NPI1063804052
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFULTONDALE URGENT CARE LLC
Location Address339 WALKER CHAPEL PLZ, SUITE 115Fultondale, AL 35068-3401
Mailing Address339 Walker Chapel Plz, Suite 115Fultondale, AL 35068-3401
Phone(205) 841-2844
Organization SubpartNo
Authorized OfficialDoug RandallCoo · (205) 841-2844
Enumeration DateFebruary 27, 2015
Last NPPES UpdateMarch 2, 2015
✔ NPI 1063804052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedEmergency MedicineTaxonomy 207P00000X
339 WALKER CHAPEL PLZ, Fultondale, AL 35068
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Other Identifiers 6

Other0CXJ1AL · Bcbs
Other1659697696AL · Tricare South
Medicaid169110AL
Other615236400Dol
OtherDQ4012AL · Rrmc
Medicare PIN102G708163AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL NAILOR CRNP
Nurse Practitioner (Family)
339 WALKER CHAPEL PLZ, #115
FULTONDALE, AL 35068
Jefferson County (205) 340-5712
PAUL ROBERTS MD
Emergency Medicine
339 WALKER CHAPEL PLZ, SUITE 115
FULTONDALE, AL 35068
Jefferson County (205) 841-2844
NORWOOD CLINIC, INC
Radiology (Diagnostic Radiology)
339 WALKER CHAPEL PLZ, SUITE 101
FULTONDALE, AL 35068
Jefferson County (205) 380-7878
JORDAN HAMMOCK
Nurse Practitioner (Family)
339 WALKER CHAPEL PLZ
FULTONDALE, AL 35068
Jefferson County (205) 841-2844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fultondale Urgent Care LLC's NPI number?

The NPI number for Fultondale Urgent Care LLC is 1063804052. It was assigned to this organization in the NPPES registry on February 27, 2015.

Where is Fultondale Urgent Care LLC located?

Fultondale Urgent Care LLC is located at 339 Walker Chapel Plz Suite 115, Fultondale, AL 35068. The listed phone number is (205) 841-2844.

What is Fultondale Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fultondale Urgent Care LLC was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.