NPI Code Detail JSON Logo

1255291472 NPI number — ULTRA HEALTH POUNDING MILL

NPI Number: 1255291472
Health Care Provider/Practitioner: ULTRA HEALTH POUNDING MILL

Information about “1255291472” NPI (ULTRA HEALTH POUNDING MILL) exists in 1255291472 in HTML format HTML  |  1255291472 in plain Text format TXT  |  1255291472 in PDF (Portable Document Format) PDF  |  1255291472 in an XML format XML  formats.

NPI Number : 1255291472 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255291472",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "TOWN CENTER URGENT CARE LLC",
    "ParentOrgTIN": null,
    "OrgName": "ULTRA HEALTH POUNDING MILL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13401 GOVERNOR G C PEERY HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POUNDING MILL",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24637-4010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13401 GOVERNOR G C PEERY HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POUNDING MILL",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24637-4010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "276-385-1183",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/12/2025",
    "LastUpdateDate": "11/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CLINE",
    "AuthorizedOfficialFirstName": "KAYLA",
    "AuthorizedOfficialMiddleName": "BRIANA",
    "AuthorizedOfficialTitle": "AO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "276-385-1183",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR1300X",
        "TaxonomyName": "Rural Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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