EXPRESS CARE OF FULTON NPI 1780890517

NPI Information

  • NPI: 1780890517
  • Provider Name: EXPRESS CARE OF FULTON
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 25D1019888
  • Address: 202 INTERCHANGE DR
    FULTON, MS
    ZIP 38843
  • Phone: (662) 862-9040

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NPI Details

EXPRESS CARE OF FULTON is a clinic center in Fulton, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EXPRESS CARE OF FULTON NPI is 1780890517. The provider is registered as an organization entity type.

The provider's business location address is:

202 INTERCHANGE DR
FULTON, MS
ZIP 38843-011
Phone: (662) 862-9040
Fax: (662) 862-9091

The provider's authorized official is Laura L Curbow .
The authorized official title is Office Manager and has the following contact phone number (662) 862-9040.

The CLIA number assigned to this NPI record is 25D1019888 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 1/14/2010.

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 License Number License State Primary
1261Q00000XClinic/CenterYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109015389MEDICAIDMISSISSIPPI
2C03358MEDICARE PINMISSISSIPPI

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: 3/30/2025

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