Gluckstadt Special Care Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GLUCKSTADT SPECIAL CARE CLINIC

Practice address

1716 Highway 51 Ste M
Madison, MS 39110-5020

Phone

(601) 707-5621

Fax

(601) 707-9052

NPI assigned

Oct 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen M Conner, CPC

Title

Director of Client Solutions

Phone

(318) 255-7591

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina R Hossley, NP

  • Family Nurse Practitioner
  • Vicksburg, MS
  • NPI 1770863631
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1003191867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HIGHWAY 51 STE M",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105020",
            "telephone_number": "601-707-5621",
            "fax_number": "601-707-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HIGHWAY 51 STE M",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105020",
            "telephone_number": "601-707-5621",
            "fax_number": "601-707-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUCKSTADT SPECIAL CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SOLUTIONS",
        "authorized_official_telephone_number": "318-255-7591",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germantown Family Dental
• Mitra Ghafarianpoor, APRN
• Jeremy Gibson
• Latasha D Glasper
• Gluckstadt Family Dentistry, PA
• Gluckstadt Special Care Pharmacy & Compounding
• Gluckstadt TC Kids, LLC
• Jane R Goff, RN
• Olivia Ross Goff, LPC
• Traci Goodwin, RD

• Primary Care Clinic/Center in Madison, MS
• Providers in Madison, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.