NPIMap

Organization Active NPI

Physicians Urgent Care of Corinth, LLC

  • Durable Medical Equipment & Medical Supplies
  • Booneville, MS
National Provider Identifier
1942032297
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHYSICIANS URGENT CARE OF CORINTH, LLC
Practice address
1002 N 2ND St
Booneville, MS 38829-1314
Phone
(662) 340-4375
Fax
(662) 340-4378
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Laurie A. Duncan
Title
VP of Revenue
Phone
(678) 332-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1002 N 2ND St
Booneville, MS 38829-1314

Mailing address

2601 Getwell Rd Ste 1
Corinth, MS 38834-6762
Phone (662) 287-7138

National Provider Directory

National Provider Directory
Tax ID family
Physicians Urgent Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1942032297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 1",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-287-7138",
            "fax_number": "662-287-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291314",
            "telephone_number": "662-340-4375",
            "fax_number": "662-340-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS URGENT CARE OF CORINTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP OF REVENUE",
        "authorized_official_telephone_number": "678-332-6122"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.