ROLLA URGENT CARE LLC NPI 1326099417

NPI Information

  • NPI: 1326099417
  • Provider Name: ROLLA URGENT CARE, LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Address: 1060 S BISHOP AVE
    ROLLA, MO
    ZIP 65401
  • Phone: (573) 426-5900

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NPI Details

ROLLA URGENT CARE, LLC is a rural health clinic center in Rolla, MO. ROLLA URGENT CARE, LLC NPI is 1326099417. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1060 S BISHOP AVE
ROLLA, MO
ZIP 65401-411
Phone: (573) 426-5900
Fax: (573) 426-4466

The provider's authorized official is Oluyomi Olusanya .
The authorized official title is Owner/del Official and has the following contact phone number (573) 426-5900.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 9/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine2002009086MISSOURINo
2261QR1300XClinic/CenterRural HealthYes
3363LF0000XNurse PractitionerFamily124268MISSOURINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1268956MEDICARE OSCAR/CERTIFICATIONMISSOURI
2000014967MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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