Provider Demographics
NPI:1770226599
Name:CENTER POINTE URGENT CARE PLLC
Entity Type:Organization
Organization Name:CENTER POINTE URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:1/3 OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLYNT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:704-378-8478
Mailing Address - Street 1:128 E PLAZA DR UNIT 3 AND 4
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-8000
Mailing Address - Country:US
Mailing Address - Phone:336-259-7592
Mailing Address - Fax:
Practice Address - Street 1:128 E PLAZA DR UNIT 3 - 4
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-8000
Practice Address - Country:US
Practice Address - Phone:336-259-7592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty