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MED 360 URGENT CARE, LLC
NPI 1871044677
Clinic/Center - Primary Care in Jasper, AL

Active since October 18, 2016
1700 HIGHWAY 78 E, JASPER, AL 35501(205) 512-1058(205) 487-8827 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2022, Feb 17, 2020, Dec 13, 2018 and 1 more (4 updates tracked since 2016).

About Med 360 Urgent Care, Llc NPPES

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

MED 360 URGENT CARE, LLC (NPI 1871044677) is a healthcare organization registered as a primary care in Jasper, Alabama and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Winfield and lists Farouk Anwarul Raquib, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1871044677
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMED 360 URGENT CARE, LLC
Location Address1700 HIGHWAY 78 EJasper, AL 35501-4036
Mailing Address1700 Highway 78 EJasper, AL 35501-4036 · (205) 412-5720 · Fax (205) 487-8827
Phone(205) 512-1058
Fax(205) 487-8827
Organization SubpartNo
Authorized OfficialFarouk Anwarul RaquibOwner/physician · (205) 487-4535
Enumeration DateOctober 18, 2016
Last NPPES UpdateMarch 13, 20244 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1871044677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 170018 (AL)
1700 HIGHWAY 78 E, Jasper, AL 35501
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Secondary Practice Location 1

Location 1125 Bob Lawrence RoadWinfield, AL 35594 · Phone (205) 487-4535 · Fax (205) 487-8827

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.

AMBER LANAE BUSBY RN
Nurse Practitioner (Family)
1700 HIGHWAY 78 E
JASPER, AL 35501
Walker County (205) 512-1058
APRYL CHRISTINE NORRIS CRNP
Nurse Practitioner (Family)
1700 HIGHWAY 78 E
JASPER, AL 35501
Walker County (205) 265-9584

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 Med 360 Urgent Care, LLC's NPI number?

The NPI number for Med 360 Urgent Care, LLC is 1871044677. It was assigned to this organization in the NPPES registry on October 18, 2016.

Where is Med 360 Urgent Care, LLC located?

Med 360 Urgent Care, LLC is located at 1700 Highway 78 E, Jasper, AL 35501. The listed phone number is (205) 512-1058.

What is Med 360 Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Med 360 Urgent Care, LLC was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.