Convenient Care Medical Clinic Llc

LBN: Convenient Care Medical Clinic Llc
Convenient Care Medical Clinic Llc is an health care organization with primary practice located at 2207 5Th St N , Columbus MS 39705-2211. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Convenient Care Medical Clinic Llc can be contacted via phone (662) 251-3565, or through Sims, Teresa Marie via phone (662) 241-7177.

Contact Information

Primary practice address
2207 5Th St N Columbus MS 39705-2211
Phone: (662) 251-3565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sims, Teresa Marie FNP-BC
Phone: (662) 241-7177

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Mississippi

Profile Details

NPI number 1396127221
LBN Legal business name Convenient Care Medical Clinic Llc
DBA Doing business as
Authorized official Sims, Teresa Marie FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2015
Last updated Aug 24th, 2022 - about 2 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 1396127221 NPPES
Mississippi MEDICAID 01903235

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