# FIRST STOP URGENT CARE CENTER PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285731497
- **Authorized official:** DR. KAMLESH C DAVE MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (502) 693-2465

## Contact information

- **Practice address:** 1006 NEW MOODY LN, LAGRANGE, KY 40031-9122
- **Practice address phone:** (502) 222-0028
- **Practice address fax:** (502) 222-0029
- **Mailing address:** 1006 NEW MOODY LN, LAGRANGE, KY 40031-9122
- **Mailing address phone:** (502) 222-0028
- **Mailing address fax:** (502) 222-0029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 02/24/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000344868 | ANTHEM | KY |
| 05 | — | 1D31001092 | — | KY |
| 01 | — | 2694766000 | PASSPORT ADVANTAGE | KY |
| 01 | — | 500009943 | PASSPORT | KY |
| 01 | — | 611378102 | COMMERCIAL | KY |
| 01 | — | 9241 | MEDICARE | KY |
| 01 | — | DD0597 | RAILROAD MEDICARE | KY |