NPIMap

Organization Active NPI

Urgent Care Inc

  • Family Medicine Physician
  • Gulfport, MS
National Provider Identifier
1154576106
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
URGENT CARE INC
Practice address
12207 Highway 49
Gulfport, MS 39503-2955
Phone
(228) 831-1140
Fax
(228) 831-1104
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Lydia Rayner
Title
Owner
Phone
(228) 864-0622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

12207 Highway 49
Gulfport, MS 39503-2955

Mailing address

200 W Railroad St
Long Beach, MS 39560-4517
Phone (228) 864-0622

National Provider Directory

National Provider Directory
Tax ID family
Urgent Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 W Railroad St
Long Beach, MS 39560
Phone (228) 864-0334

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1154576106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W RAILROAD ST",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604517",
            "telephone_number": "228-864-0622",
            "fax_number": "228-864-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032955",
            "telephone_number": "228-831-1140",
            "fax_number": "228-831-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "RAYNER",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-864-0622"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.