Provider Demographics
NPI:1982570479
Name:YOUR FAMILY URGENT CARE OF THE MIDLANDS
Entity type:Organization
Organization Name:YOUR FAMILY URGENT CARE OF THE MIDLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:VEOLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RILEY-AMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:803-479-0413
Mailing Address - Street 1:1230 SAINT ANDREWS RD STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-5822
Mailing Address - Country:US
Mailing Address - Phone:803-479-0413
Mailing Address - Fax:803-479-0413
Practice Address - Street 1:1230 SAINT ANDREWS RD STE B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-5822
Practice Address - Country:US
Practice Address - Phone:803-479-0413
Practice Address - Fax:803-479-0413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care