University City Urgent Care Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

06420 Issued in MS

Legal business name

UNIVERSITY CITY URGENT CARE CLINIC INC

Doing business as

Starkville Urgent Care Clinic

Practice address

1201 Stark Road
Starkville, MS 39760

Phone

(662) 324-9760

Fax

(662) 324-9761

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Mary Beth Hillman

Title

Ceo

Phone

(662) 324-9760

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Starkville Urgent Care Clinic Doing business as

Locations

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1417280884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "address_2": "1201 STARK ROAD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397600845",
            "telephone_number": "662-324-9760",
            "fax_number": "662-324-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 STARK ROAD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39760",
            "telephone_number": "662-324-9760",
            "fax_number": "662-324-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CITY URGENT CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-324-9760",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "06420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05731806",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starkville Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Starkville, MS
• Providers in Starkville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.