Lebonheur Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LEBONHEUR URGENT CARE, LLC

Doing business as

LeBonheur Urgent Care Desoto

Practice address

5480 Goodman Rd
Suite 2
Olive Branch, MS 38654-7902

Phone

(662) 893-9877

Fax

(662) 893-9828

NPI assigned

Apr 8, 2008

Last updated

Jul 25, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Juloy Raymer

Title

Director

Phone

(901) 516-4176

Specialties & licenses 1

Addresses

Other names 1

• LeBonheur Urgent Care Desoto Doing business as

Part of

Meth Comm Amb Serivce

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Methodist Healthcare - Memphis Hospitals

  dba Methodist Behavioral Health

  • Psychiatric Hospital Unit
  • Memphis, TN
  • NPI 1598829442

  Member Of

  NPD member

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1932372307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHELBY VIEW DR",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347659",
            "telephone_number": "901-516-1489",
            "fax_number": "901-380-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 GOODMAN RD",
            "address_2": "SUITE 2",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547902",
            "telephone_number": "662-893-9877",
            "fax_number": "662-893-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBONHEUR URGENT CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "RAYMER",
        "authorized_official_first_name": "JULOY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-516-4176"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeBonheur Urgent Care Desoto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vani Kudlur Chandrappa, M.D.
• Warren T Kwok, M.D.
• Darrel Wayne Lancaster, PH.D.
• Sarah Bennett Lau, PH.D.
• Currissia Leakes, B.A
• Sheri S Ledford, FNP
• Arthur Lee III, DPT
• Whitney Lee
• Dana Leggett, LMSW
• Jamie Leitschuh

• Urgent Care Clinic/Center in Olive Branch, MS
• Providers in Olive Branch, 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 Jul 25, 2008; 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.