GOLDEN TRIANGLE URGENT CARE LLC NPI 1013640713

NPI Information

NPI: 1013640713
Provider Name: GOLDEN TRIANGLE URGENT CARE LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 25D0990888

Address:
1154 CROSS CREEK DR STE 3
SALTILLO, MS
ZIP 38866
Phone: (662) 840-8010
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GOLDEN TRIANGLE URGENT CARE LLC is a rural health clinic center in Saltillo, MS. GOLDEN TRIANGLE URGENT CARE LLC NPI is 1013640713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1154 CROSS CREEK DR STE 3
SALTILLO, MS
ZIP 38866-777
Phone: (662) 840-8010
Fax: (662) 840-2656

The provider's authorized official is John Reel .
The authorized official title is Controller and has the following contact phone number (615) 864-8709.

The CLIA number assigned to this NPI record is 25D0990888 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2022 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261Q00000X	Clinic/Center		No
3	261QU0200X	Clinic/Center	Urgent Care	No
4	363LF0000X	Nurse Practitioner	Family	No
5	261QR1300X	Clinic/Center	Rural Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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