Immediate Family Clinic

LBN: Immediate Family Clinic
Immediate Family Clinic is an health care organization with primary practice located at 2490 Pass Rd , Biloxi MS 39531-2838. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Immediate Family Clinic can be contacted via phone (228) 385-3774, or through Parker, Greg G via phone (228) 385-3774.

Contact Information

Primary practice address
2490 Pass Rd Biloxi MS 39531-2838
Fax: (228) 385-3776
Website:
Authorized official contact:
Name: Parker, Greg G

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X R791344 Mississippi
Ambulatory Health Care Facilities / Urgent Care 261QU0200X R868142 Mississippi

Profile Details

NPI number 1093045908
LBN Legal business name Immediate Family Clinic
DBA Doing business as
Authorized official Parker, Greg G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2009
Last updated Dec 28th, 2009 - about 16 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 1093045908 NPPES
Mississippi MEDICAID 1811132285
Mississippi MEDICAID 1255343570

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