Superiorcare Medical Group Llc

LBN: Superiorcare Medical Group Llc
Superiorcare Medical Group Llc is an health care organization with primary practice located at 1223 Main St , Southaven MS 38671-1429. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Superiorcare Medical Group Llc can be contacted via phone (662) 408-6995, or through Luckett, Donna via phone (662) 403-7741.

Contact Information

Primary practice address
1223 Main St Southaven MS 38671-1429
Phone: (662) 408-6995
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luckett, Donna Family Nurse Practitioner (FNP)
Phone: (662) 403-7741

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1124802178
LBN Legal business name Superiorcare Medical Group Llc
DBA Doing business as
Authorized official Luckett, Donna Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2023
Last updated May 7th, 2024 - about 6 months 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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