Provider Demographics
NPI:1609053461
Name:THOMAS URGENT CARE SYSTEMS LLC
Entity Type:Organization
Organization Name:THOMAS URGENT CARE SYSTEMS LLC
Other - Org Name:THOMAS WESTCHASE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-749-2800
Mailing Address - Street 1:12021 WHITMARSH LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1737
Mailing Address - Country:US
Mailing Address - Phone:813-749-2800
Mailing Address - Fax:813-855-8362
Practice Address - Street 1:12021 WHITMARSH LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1737
Practice Address - Country:US
Practice Address - Phone:813-749-2800
Practice Address - Fax:813-855-8362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82489261QE0002X, 261QH0100X, 261QM2500X, 261QP2300X, 261QU0200X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL222672OtherAMERIGROUP
FL263232200Medicaid
FL514769328OtherCHAMPUS
FL04002OtherBCBS OF FLORIDA
FLP00289057OtherRAILROAD MEDICARE
FL222672OtherAMERIGROUP
FL=========OtherHUMANA
FL263232200Medicaid
FL04002XMedicare PIN