COUNTRY CLUB URGENT CARE CENTER LLC
NPI 1477954683
Clinic/Center - Urgent Care in El Paso, TX
About Country Club Urgent Care Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY CLUB URGENT CARE CENTER LLC (NPI 1477954683) is a healthcare organization registered as an urgent care in El Paso, Texas and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Tracy Short, Pa-c, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 11
Accepted 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 45D2087965
Country Club Urgent Care Center · El Paso, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Country Club Urgent Care Center LLC's NPI number?
The NPI number for Country Club Urgent Care Center LLC is 1477954683. It was assigned to this organization in the NPPES registry on September 7, 2014.
Where is Country Club Urgent Care Center LLC located?
Country Club Urgent Care Center LLC is located at 8041 N Mesa St Suite B-2, El Paso, TX 79932. The listed phone number is (915) 474-2454.
What is Country Club Urgent Care Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Does Country Club Urgent Care Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2087965) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Country Club Urgent Care Center LLC accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Country Club Urgent Care Center LLC 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 Country Club Urgent Care Center LLC was last updated on December 12, 2014. 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.
# Country Club Urgent Care Center Llc · NPI 1477954683
Urgent Care organization in El Paso, Texas. Organization record, active in the CMS NPPES registry since September 7, 2014.
## Identity
- **NPI:** 1477954683 (Entity type: Organization)
- **Enumerated:** September 7, 2014
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Tracy Short, PA-C
## Practice location
- **Address:** 8041 N MESA ST, SUITE B-2, El Paso, TX 79932-1735
- **Phone:** (915) 474-2454
## Record status
- **NPPES last updated:** December 12, 2014
- **Other identifiers:** Medicaid 40379761 (NM); Medicare PIN TXB106104 (TX); Medicaid 00825875 (NM); and 8 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477954683) · Data from the CMS NPPES public registry.