Active NPI
Quality Medical Clinic II
- Urgent Care Clinic/Center
- McComb, MS
National Provider Identifier
1295261642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- QUALITY MEDICAL CLINIC II
- Practice address
- 120 5TH Ave
McComb, MS 39648 - Phone
- (601) 249-0013
- Fax
- (601) 730-6667
- NPI assigned
- May 4, 2017
- Last updated
- Aug 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Anazia
- Title
- Administrator
- Phone
- (601) 249-0013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
120 5TH Ave
McComb, MS 39648
Mailing address
120 5TH Ave
McComb, MS 39648
Phone (601) 249-0013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07085227 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
101 Hospital Dr
Tylertown, MS 39667
Phone (601) 249-0013
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- McComb, MS
- NPI 1245232792
-
- Public Health & General Preventive Medicine Physician
- Picayune, MS
- NPI 1770562647
-
- Family Nurse Practitioner
- McComb, MS
- NPI 1588299572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1295261642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 5TH AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "39648",
"telephone_number": "601-249-0013",
"fax_number": "601-730-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 5TH AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "39648",
"telephone_number": "601-249-0013",
"fax_number": "601-730-6667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY MEDICAL CLINIC II",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-04",
"last_updated": "2024-08-19",
"status": "A",
"authorized_official_last_name": "ANAZIA",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "601-249-0013",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07085227",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.