Gulf Coast Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GULF COAST URGENT CARE, LLC

Practice address

1025 Division St Ste D1
Biloxi, MS 39530-2906

Phone

(228) 382-4005

Fax

(228) 267-3594

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna Nichole Blackmore, OM

Title

Director of Clinic Operations/ Om

Phone

(228) 209-9788

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1467137372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 DIVISION ST STE D1",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302906",
            "telephone_number": "228-382-4005",
            "fax_number": "228-267-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DIVISION ST STE D1",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302906",
            "telephone_number": "228-382-4005",
            "fax_number": "228-267-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "BLACKMORE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS/ OM",
        "authorized_official_telephone_number": "228-209-9788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Outpatient Surgery Center, LLC
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Vamc
• Gulf Coast Vascular Care, LLC
• Gulf Coast Veterans Health Care System
• Gulf Coast Wellness Center Inc
• Gulf Medical, LLC

• Urgent Care Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.