Active NPI
Family & Urgent Care Clinic
- Family Medicine Physician
- Horn Lake, MS
National Provider Identifier
1942574363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY & URGENT CARE CLINIC
- Practice address
- 3040 Goodman Rd W
Horn Lake, MS 38637-1189 - Phone
- (662) 280-3428
- Fax
- (662) 280-1736
- NPI assigned
- Mar 2, 2012
- Last updated
- Mar 2, 2012
- 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
- Barry J Politi
- Title
- Sole MBR
- Phone
- (662) 280-3428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3040 Goodman Rd W
Horn Lake, MS 38637-1189
Mailing address
3040 Goodman Rd W
Horn Lake, MS 38637-1189
Phone (662) 280-3428
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330646400000",
"number": "1942574363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 GOODMAN RD W",
"city": "HORN LAKE",
"state": "MS",
"postal_code": "386371189",
"telephone_number": "662-280-3428",
"fax_number": "662-280-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 GOODMAN RD W",
"city": "HORN LAKE",
"state": "MS",
"postal_code": "386371189",
"telephone_number": "662-280-3428",
"fax_number": "662-280-1736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY & URGENT CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A",
"authorized_official_last_name": "POLITI",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "662-280-3428"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Horn Lake, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.