NPIMap

Organization Active NPI

Olive Branch Urgent Care #1 LLC

Doing business as MedPost Urgent Care - Olive Branch

  • Urgent Care Clinic/Center
  • Olive Branch, MS
National Provider Identifier
1649612680
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OLIVE BRANCH URGENT CARE #1 LLC
Doing business as
MedPost Urgent Care - Olive Branch
Practice address
5142 Goodman Road
Suite 107
Olive Branch, MS 38654
Phone
(662) 874-5755
Fax
(662) 874-5768
NPI assigned
Jul 18, 2013
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Brian Rasmus
Title
VP, Cfo TPR
Phone
(469) 893-2532

Specialties & licenses 1

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

Addresses

Primary practice location

5142 Goodman Road
Suite 107
Olive Branch, MS 38654

Mailing address

5142 Goodman Road
Suite 107
Olive Branch, MS 38654
Phone (662) 874-5755

Other names 1

  • MedPost Urgent Care - Olive Branch Doing business as

National Provider Directory

National Provider Directory

Locations

5142 Goodman Rd
Ste 10
Olive Branch, MS 38654
Phone (662) 874-5755

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1649612680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 GOODMAN ROAD",
            "address_2": "SUITE 107",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "662-874-5755",
            "fax_number": "662-874-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5142 GOODMAN ROAD",
            "address_2": "SUITE 107",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "662-874-5755",
            "fax_number": "662-874-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH URGENT CARE #1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP, CFO TPR",
        "authorized_official_telephone_number": "469-893-2532"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPost Urgent Care - Olive Branch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedPost Urgent Care - Olive Branch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.