NPIMap

Organization Active NPI

Urgent Medical Clinic Inc

Doing business as Prime Urgent Medical Clinic

  • Non-Pharmacy Dispensing Site
  • Collierville, TN
National Provider Identifier
1366836090
Registry record updated May 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
URGENT MEDICAL CLINIC INC
Doing business as
Prime Urgent Medical Clinic
Practice address
3680 S Houston Levee Rd
Suite 104
Collierville, TN 38017-9147
Phone
(901) 854-7620
NPI assigned
Mar 19, 2015
Last updated
May 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
URGENT MEDICAL CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2015

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

Authorized official

Name
Vinod Pareek
Title
Administrator
Phone
(662) 510-6985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

3680 S Houston Levee Rd
Suite 104
Collierville, TN 38017-9147

Mailing address

3680 S Houston Levee Rd
Suite 104
Collierville, TN 38017-9147
Phone (901) 854-7620

Other names 1

  • PRIME URGENT MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Urgent Medical Clinic Inc3 organizations share this tax ID, including this one
Part of
Urgent Medical Clinic Inc

Other organizations with this tax ID 2

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

Locations

3680 S Houston Levee Rd
Ste 104
Collierville, TN 38017
Phone (901) 221-7212

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430524800000",
    "number": "1366836090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 S HOUSTON LEVEE RD",
            "address_2": "SUITE 104",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179147",
            "telephone_number": "901-854-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 S HOUSTON LEVEE RD",
            "address_2": "SUITE 104",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179147",
            "telephone_number": "901-854-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT MEDICAL CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URGENT MEDICAL CLINIC INC",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-05-02",
        "status": "A",
        "authorized_official_last_name": "PAREEK",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-510-6985"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME URGENT MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.