MEDICARE: URGENT MEDICAL CLINIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1518351246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT MEDICAL CLINIC INC

Provider Business Mailing Address
First Line	:	6515 POPLAR AVE
Second Line	:	SUITE 106
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4878
Country	:	US
Telephone Number	:	901-762-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6515 POPLAR AVE
Second Line	:	SUITE 106
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4878
Country	:	US
Telephone Number	:	901-762-0700
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VINOD PAREEK
Credential	:
Telephone Number	:	662-510-6985

Provider Enumeration Date	:	03/19/2015
Last Update Date	:	03/19/2015

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