PARK URGENT CARE PLLC NPI 1871064949

NPI Information

  • NPI: 1871064949
  • Provider Name: PARK URGENT CARE PLLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 34D2164715
  • Address: 7560 CARPENTER FIRE STATION RD
    CARY, NC
    ZIP 27519
  • Phone: (919) 261-6677

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NPI Details

PARK URGENT CARE PLLC is an urgent care clinic center in Cary, NC. PARK URGENT CARE PLLC NPI is 1871064949. The provider is registered as an organization entity type.

The provider's business location address is:

7560 CARPENTER FIRE STATION RD
CARY, NC
ZIP 27519-616
Phone: (919) 261-6677
Fax: (919) 261-6860

The provider's authorized official is Vijaya N Polavaram .
The authorized official title is President and has the following contact phone number (919) 261-6677.

The CLIA number assigned to this NPI record is 34D2164715 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/17/2018.

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
1261QU0200XClinic/CenterUrgent CareYes

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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