NPIMap

Organization Active NPI

St Michael Urgent Care of Hattiesburg LLC

  • Urgent Care Clinic/Center
  • Hattiesburg, MS
National Provider Identifier
1396015087
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
19875 Issued in MS
Legal business name
ST MICHAEL URGENT CARE OF HATTIESBURG LLC
Practice address
3700 Hardy St
Hattiesburg, MS 39402-1553
Phone
(601) 544-7012
Fax
(601) 544-7013
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Ikechukwu H Okorie, M.D.
Title
Medical Director
Phone
(601) 544-7012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 19875 MS Primary

Addresses

Primary practice location

3700 Hardy St
Hattiesburg, MS 39402-1553

Mailing address

3700 Hardy St
Hattiesburg, MS 39402-1553
Phone (601) 544-7012

National Provider Directory

National Provider Directory

Locations

3700 Hardy St
Hattiesburg, MS 39402
Phone (601) 544-7012

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1396015087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021553",
            "telephone_number": "601-544-7012",
            "fax_number": "601-544-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021553",
            "telephone_number": "601-544-7012",
            "fax_number": "601-544-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAEL URGENT CARE OF HATTIESBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "OKORIE",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-544-7012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MS",
            "license": "19875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.