Gulfport Urgent Care Center LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

12692 Issued in MS

Legal business name

GULFPORT URGENT CARE CENTER LLC

Practice address

9344 Three Rivers Rd
Gulfport, MS 39503-4268

Phone

(228) 863-0500

NPI assigned

Sep 12, 2009

Organization subpart

No

Name

Joel B Burwell, D.O.

Title

Owner

Phone

(228) 863-0500

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2009.

{
    "created_epoch": "1252713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252713600000",
    "number": "1447583141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-863-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-863-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFPORT URGENT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-12",
        "last_updated": "2009-09-12",
        "status": "A",
        "authorized_official_last_name": "BURWELL",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-863-0500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MS",
            "license": "12692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427012657",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulfport Premier ABA LLC
• Gulfport School District
• Gulfport School District
• Gulfport Surgery Center, LLC
• Gulfport Surgery Clinic
• Gulfport Wellness Center Inc
• Mallory Cockrell Gully, SLP
• Richa Gupta, M.D.
• Ember Ann Guthrie, FNP AND APMHNP
• James Thomas Guthrie Jr., LCSW

• All providers in Gulfport, MS
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2009; 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.