THE DOCTORS CENTER URGENT CARE - NPI 1821544396 - General Practice in Portland, TX

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About The Doctors Center Urgent Care NPPES

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

THE DOCTORS CENTER URGENT CARE (NPI 1821544396) is a healthcare organization registered as a general practice in Portland, Texas and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists James Keith Rose, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1821544396

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCC DOCTORS CENTER PORTLAND, PLLC

Location Address125 NORTHSHORE BLVDPortland, TX 78374-4206

Mailing Address4637 S Padre Island DrCorpus Christi, TX 78411-4413 · (361) 852-6824 · Fax (361) 814-6828

Phone(361) 852-6824

Fax(361) 814-6828

Organization SubpartNo

Authorized OfficialJames Keith RosePresident Ceo · (361) 651-1200

Enumeration DateAugust 25, 2016

Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1821544396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License J4486 (TX)

125 NORTHSHORE BLVD, Portland, TX 78374

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Other Names 1

Doing Business AsThe Doctors Center Urgent Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D2127029

Cc Doctors Center Portland, PLLC · Portland, TX

Active · expires Jan 12, 2027

CLIA Number45D2127029

Laboratory TypePhysician Office

Certificate Effective DateJanuary 13, 2025

Certificate Expiration DateJanuary 12, 2027

Laboratory DirectorJames K. Rose

Laboratory Phone(361) 480-0334

Laboratory LocationCc Doctors Center Portland, PLLC125 Northside Blvd, Portland, TX 78374

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 5

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

MATTHEW KERN FNP-C

Nurse Practitioner (Family)