OrganizationActive
My Urban Clinic, Inc
NPI 1043408743 · Clinic/Center · Salem, IL
Provider details
- NPI number
- 1043408743
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Toney Means, President(713) 278-8710
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 N Broadway Ave
Salem, IL 62881-1511
Phone: (618) 548-1700
Fax: (618) 548-1706
Street-level locationGet directions
Mailing address
Po Box 421472
Houston, TX 77242-1472
Other names (DBA / former)
- Doing business as
- My Clinic
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.