Healthcare Provider Details

I. General information

NPI: 1508010828
Provider Name (Legal Business Name): URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2008
Last Update Date: 12/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 HIGHWAY 90
BAY ST LOUIS MS
39520-2701
US

IV. Provider business mailing address

PO BOX 869
LONG BEACH MS
39560-0869
US

V. Phone/Fax

Practice location:
  • Phone: 228-463-1900
  • Fax: 228-463-2322
Mailing address:
  • Phone: 228-365-6460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. PATCHES RHODE
Title or Position: MANAGER
Credential:
Phone: 228-466-5656