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URGENT CARE CLINIC OF OXFORD NPI 1043421357


NPI Information

NPI: 1043421357
Provider Name: URGENT CARE CLINIC OF OXFORD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D0898810

Address:
1487 BELK BLVD
OXFORD, MS
ZIP 38655
Phone: (662) 234-1090
Get Directions

URGENT CARE CLINIC OF OXFORD is a family medicine in Oxford, 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. URGENT CARE CLINIC OF OXFORD NPI is 1043421357. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1487 BELK BLVD
OXFORD, MS
ZIP 38655-371
Phone: (662) 234-1090
Fax: (662) 234-0432

The provider's authorized official is Kelley Denise Mccullough .
The authorized official title is Office Manager and has the following contact phone number (662) 234-1090.

The CLIA number assigned to this NPI record is 25D0898810 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 3/23/2011.


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
1207Q00000XFamily Medicine18438MISSISSIPPINo
2207Q00000XFamily Medicine10602MISSISSIPPINo
3363L00000XNurse PractitionerR728594MISSISSIPPINo
4207Q00000XFamily Medicine13516MISSISSIPPIYes

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
1F32182MEDICARE UPINMISSISSIPPI
2P03979MEDICARE UPINMISSISSIPPI
3080004078MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
4I28464MEDICARE UPINMISSISSIPPI
50015608MEDICAIDMISSISSIPPI
6D66533MEDICARE UPINMISSISSIPPI
7080004078MEDICARE ID-TYPE UNSPECIFIED
8080002113MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
906759064MEDICAIDMISSISSIPPI
109014432MEDICAIDMISSISSIPPI
11080002219MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.