Bayside Urgent Care Center Inc.

LBN: Bayside Urgent Care Center Inc.
Bayside Urgent Care Center Inc. is an health care organization with primary practice located at 1001 S Fort Harrison Ave Suite 101, Clearwater FL 33756-3905. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Bayside Urgent Care Center Inc. can be contacted via phone (813) 508-2225, or through Wallace, Richard Peterkin via phone (813) 508-2225.

Contact Information

Primary practice address
1001 S Fort Harrison Ave Suite 101 Clearwater FL 33756-3905
Phone: (813) 508-2225
Fax: (813) 920-4999
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Richard Peterkin Doctor of Medicine (MD)
Phone: (813) 508-2225

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X BTR-0029514 Florida

Profile Details

NPI number 1619257755
LBN Legal business name Bayside Urgent Care Center Inc.
DBA Doing business as
Authorized official Wallace, Richard Peterkin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2011
Last updated Aug 21st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619257755 NPPES
Florida MEDICAID 270183900

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