BAYSIDE URGENT CARE CENTER INC.
NPI 1619257755
Clinic/Center - Urgent Care in Clearwater, FL

Active since August 21, 2011CLIA 10D2029063 · Waiver
1001 S FORT HARRISON AVE, SUITE 101, CLEARWATER, FL 33756(813) 508-2225(813) 920-4999 Get Directions Write a Review

NPPES record last updated: August 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bayside Urgent Care Center Inc. NPPES

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

BAYSIDE URGENT CARE CENTER INC. (NPI 1619257755) is a healthcare organization registered as an urgent care in Clearwater, Florida and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Richard Peterkin Wallace, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1619257755
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBAYSIDE URGENT CARE CENTER INC.
Location Address1001 S FORT HARRISON AVE, SUITE 101Clearwater, FL 33756-3905
Mailing Address10030 New Parke RdTampa, FL 33626-5414 · (813) 508-2225 · Fax (813) 920-4999
Fax(813) 920-4999
Organization SubpartNo
Authorized OfficialRichard Peterkin WallacePresident/ceo · (813) 508-2225
Enumeration DateAugust 21, 2011
NPI 1619257755 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 · BTR-0029514
1001 S FORT HARRISON AVE, Clearwater, FL 33756

Other Identifiers 2

Medicare UPINH97959FL
Medicaid270183900FL

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 10D2029063

Bayside Urgent Care Center Inc · Clearwater, FL
Active · expires Aug 30, 2027
CLIA Number10D2029063
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorRichard P. Wallace
Laboratory Phone(727) 441-5044
Laboratory LocationBayside Urgent Care Center Inc501 S Lincoln Avenue, Suite 21, Clearwater, FL 33756
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

General Practice
1001 S FORT HARRISON AVE, SUITE 200
CLEARWATER, FL 33756
Family Medicine
1001 S FORT HARRISON AVE, SUITE 101
CLEARWATER, FL 33756

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 Bayside Urgent Care Center Inc.'s NPI number?

The NPI number for Bayside Urgent Care Center Inc. is 1619257755. It was assigned to this organization in the NPPES registry on August 21, 2011.

Where is Bayside Urgent Care Center Inc. located?

Bayside Urgent Care Center Inc. is located at 1001 S Fort Harrison Ave Suite 101, Clearwater, FL 33756. The listed phone number is (813) 508-2225.

What is Bayside Urgent Care Center Inc.'s specialty?

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

Does Bayside Urgent Care Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2029063) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bayside Urgent Care Center Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Bayside Urgent Care Center 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 Bayside Urgent Care Center Inc. was last updated on August 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.