Healthcare Provider Details
I. General information
NPI: 1538026471
Provider Name (Legal Business Name): PUREMED URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17 DREW LN STE B
SHELBURNE VT
05482-7015
US
IV. Provider business mailing address
17 DREW LN STE B
SHELBURNE VT
05482-7015
US
V. Phone/Fax
- Phone: 580-574-4035
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GARY
TAYLOR
Title or Position: CEO/OWNER
Credential: PA-C
Phone: 580-574-4035