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CRESTVIEW URGENT CARE, INC.
NPI 1144458647
Clinic/Center - Urgent Care in Crestview, FL

Active since June 23, 2009CLIA 10D2027002 · Waiver
1502 S FERDON BLVD, CRESTVIEW, FL 32536(850) 398-1079 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crestview Urgent Care, Inc. NPPES

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

CRESTVIEW URGENT CARE, INC. (NPI 1144458647) is a healthcare organization registered as an urgent care in Crestview, Florida and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Charles Joseph Clancy, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1144458647
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCRESTVIEW URGENT CARE, INC.
Location Address1502 S FERDON BLVDCrestview, FL 32536-8444
Mailing Address1502 S Ferdon BlvdCrestview, FL 32536-8444 · (850) 398-8668
Phone(850) 398-1079
Organization SubpartNo
Authorized OfficialCharles Joseph ClancyPhysician Assistant · (850) 398-8668
Enumeration DateJune 23, 2009
Last NPPES UpdateAugust 27, 2010
✔ NPI 1144458647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in FL · ME93880
1502 S FERDON BLVD, Crestview, FL 32536
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Other Identifiers 1

Medicare UPINH36106FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2027002

Crestview Urgent Care · Crestview, FL
Active · expires Jul 13, 2027
CLIA Number10D2027002
Laboratory TypeUrgent Care Facility
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorStephen T. Noggle
Laboratory Phone(850) 398-8668
Laboratory LocationCrestview Urgent Care2400 Ferdon Blvd Ste A, Crestview, FL 32536
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Crestview Urgent Care, Inc.'s NPI number?

The NPI number for Crestview Urgent Care, Inc. is 1144458647. It was assigned to this organization in the NPPES registry on June 23, 2009.

Where is Crestview Urgent Care, Inc. located?

Crestview Urgent Care, Inc. is located at 1502 S Ferdon Blvd, Crestview, FL 32536. The listed phone number is (850) 398-1079.

What is Crestview Urgent Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Crestview Urgent Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2027002) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crestview Urgent Care, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Crestview Urgent Care, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crestview Urgent Care, Inc. was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.