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Fultondale Urgent Care LLC

Clinic/Center in Fultondale, AL · enumerated 2015 · authorized official Doug Randall, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063804052

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Registry record

Entity type Organization (Type 2)
Legal business name Fultondale Urgent Care LLC
Practice address 339 Walker Chapel Plz, Suite 115, Fultondale, AL, 35068
Phone (205) 841-2844
Enumeration date Feb 27, 2015
Last updated in NPPES Mar 2, 2015

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Doug Randall
Title Coo
Phone (205) 841-2844

Other identifiers

Identifier Type State Issuer
DQ4012 Other AL RRMC
0CXJ1 Other AL BCBS
615236400 Other - DOL
169110 Medicaid AL -
1659697696 Other AL TRICARE SOUTH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Fultondale Urgent Care LLC?
Fultondale Urgent Care LLC is registered in NPPES as a Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-02.