Prime Urgent Medical Clinic

LBN: Prime Urgent Medical Clinic
Prime Urgent Medical Clinic is an health care organization with primary practice located at 176 Goodman Rd W , Southaven MS 38671-9405. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Prime Urgent Medical Clinic can be contacted via phone (662) 510-6981, or through Levi, Clark via phone (228) 447-3823.

Contact Information

Primary practice address
176 Goodman Rd W Southaven MS 38671-9405
Phone: (662) 510-6981
Fax: (662) 510-6987
Website:
Map and Directions
Authorized official contact:
Name: Levi, Clark
Phone: (228) 447-3823

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 14440 Mississippi

Profile Details

NPI number 1891171351
LBN Legal business name Prime Urgent Medical Clinic
DBA Doing business as Prime Urgent Medical Clinic
Authorized official Levi, Clark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2015
Last updated May 10th, 2016 - about 8 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 1891171351 NPPES
Other 2153376 PK

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