Convenient Care Clinic, Pllc

LBN: Convenient Care Clinic, Pllc
Convenient Care Clinic, Pllc is an health care organization with primary practice located at 3040 Goodman Rd West , Horn Lake MS 38637-2474. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Convenient Care Clinic, Pllc can be contacted via phone (662) 578-2030, or through Jones, Kelli via phone (615) 864-8713.

Contact Information

Primary practice address
3040 Goodman Rd West Horn Lake MS 38637-2474
Phone: (662) 578-2030
Fax: (615) 301-6550
Website:
Map and Directions
Authorized official contact:
Name: Jones, Kelli
Phone: (615) 864-8713

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1851490841
LBN Legal business name Convenient Care Clinic, Pllc
DBA Doing business as
Authorized official Jones, Kelli
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 24th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851490841 NPPES
Mississippi MEDICAID 09015109

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