Organization Active NPI

Coast Urgent Care

  • Urgent Care Clinic/Center
  • Biloxi, MS
National Provider Identifier
1144619560
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COAST URGENT CARE
Practice address
179 Reynoir St
Biloxi, MS 39530-3831
Phone
(228) 365-2363
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Jennifer Mayfield Jenkins
Title
Owner
Phone
(228) 365-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MS Primary

Addresses

Primary practice location

179 Reynoir St
Biloxi, MS 39530-3831

Mailing address

PO Box 7311
Diberville, MS 39540-7201
Phone (228) 365-2363

National Provider Directory

National Provider Directory

Locations

179 Reynoir St
Biloxi, MS 39530
Phone (228) 207-9737

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1144619560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7311",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395407201",
            "telephone_number": "228-365-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 REYNOIR ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395303831",
            "telephone_number": "228-365-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD JENKINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-365-2363"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.