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OUCH URGENT CARE INC NPI 1770968919


NPI Information

NPI: 1770968919
Provider Name: OUCH URGENT CARE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D2099997

Address:
1710 N GLOSTER ST
TUPELO, MS
ZIP 38804
Phone: (662) 840-6824
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OUCH URGENT CARE INC is a family medicine in Tupelo, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OUCH URGENT CARE INC NPI is 1770968919. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1710 N GLOSTER ST
TUPELO, MS
ZIP 38804-216
Phone: (662) 840-6824

The provider's authorized official is Jay Howell .
The authorized official title is Chief Revenue Officer and has the following contact phone number (662) 205-5999.

The CLIA number assigned to this NPI record is 25D2099997 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 11/2/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109229002MEDICAIDMISSISSIPPI

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: 4/28/2024

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