Express Care Of Cleveland, Llc

LBN: Express Care Of Cleveland, Llc
Express Care Of Cleveland, Llc is an health care organization with primary practice located at 609 N Davis Ave Ste 105 , Cleveland MS 38732-2379. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Express Care Of Cleveland, Llc can be contacted via phone (662) 579-3958, or through Gowen, Gregory via phone (662) 579-3958.

Contact Information

Primary practice address
609 N Davis Ave Ste 105 Cleveland MS 38732-2379
Phone: (662) 579-3958
Fax: (866) 962-6149
Website:
Map and Directions
Authorized official contact:
Name: Gowen, Gregory
Phone: (662) 579-3958

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1780151381
LBN Legal business name Express Care Of Cleveland, Llc
DBA Doing business as
Authorized official Gowen, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2018
Last updated Jun 14th, 2023 - 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 1780151381 NPPES
Mississippi MEDICAID 09707705

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