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General NPI Number Information
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NPI Number | 1508010828
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Entity Type | Organization
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Legal Business Name | URGENT CARE INC
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 852 HIGHWAY 90
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City | BAY ST LOUIS
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State | MS
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Zip | 39520-2701
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Country | US
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Telephone | 228-463-1900
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Fax | 228-463-2322
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Provider Business Mailing Address
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Address Line | PO BOX 869
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City | LONG BEACH
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State | MS
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Zip | 39560-0869
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Country | US
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Telephone | 228-365-6460
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. PATCHES RHODE
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Credential |
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Telephone | 228-466-5656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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