Active NPI
Taborian Urgent Care Center Project Inc.
Doing business as Taborian Urgent Care Center
- Urgent Care Clinic/Center
- Mound Bayou, MS
National Provider Identifier
1497186985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- TABORIAN URGENT CARE CENTER PROJECT INC.
- Doing business as
- Taborian Urgent Care Center
- Practice address
- 101 N. Edwards Avenue
Mound Bayou, MS 38762-9594 - Phone
- (662) 741-3222
- Fax
- (662) 741-3022
- NPI assigned
- Dec 9, 2013
- Last updated
- Feb 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margo Brooks
- Title
- Administrator
- Phone
- (662) 741-3222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
101 N. Edwards Avenue
Mound Bayou, MS 38762-9594
Mailing address
PO Box 73
Mound Bayou, MS 38762-0073
Phone (662) 741-3222
Other names 1
- Taborian Urgent Care Center
National Provider Directory
National Provider DirectoryLocations
101 N Edwards Ave
Mound Bayou, MS 38762
Phone (662) 741-3222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392163200000",
"number": "1497186985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73",
"city": "MOUND BAYOU",
"state": "MS",
"postal_code": "387620073",
"telephone_number": "662-741-3222",
"fax_number": "662-741-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N. EDWARDS AVENUE",
"city": "MOUND BAYOU",
"state": "MS",
"postal_code": "387629594",
"telephone_number": "662-741-3222",
"fax_number": "662-741-3022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TABORIAN URGENT CARE CENTER PROJECT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-09",
"last_updated": "2014-02-12",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "MARGO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "662-741-3222",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Taborian Urgent Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Alyssa Lott Simmons, FNP-C
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- Dominick Trinca, M.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.