South Mississippi Urgent Care

LBN: South Mississippi Urgent Care
South Mississippi Urgent Care is an health care organization with primary practice located at 3661 Sangani Blvd Suite E, Dlberville MS 39540. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. South Mississippi Urgent Care can be contacted via phone (228) 354-0022, or through Ali, Amy via phone (228) 539-2399.

Contact Information

Primary practice address
3661 Sangani Blvd Suite E Dlberville MS 39540
Fax: (228) 354-0088
Website:
Authorized official contact:
Name: Ali, Amy Family Nurse Practitioner (FNP)

Health care specialties

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

Profile Details

NPI number 1750308250
LBN Legal business name South Mississippi Urgent Care
DBA Doing business as
Authorized official Ali, Amy Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 13th, 2013 - about 12 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 1750308250 NPPES
Mississippi MEDICAID 01938518

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