MORE CONVENIENT CARE CENTER LLC


Address: 4612 Medgar Evers Blvd, Suite 10, Jackson, MS 39213-5205
Phone: 6013219104

MORE CONVENIENT CARE CENTER LLC (NPI# 1053646190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053646190
Entity Type Organization
Organization Name MORE CONVENIENT CARE CENTER LLC
Other Organization Name MORE HEALTH CARE LLC
Practice Address 4612 Medgar Evers Blvd
Suite 10
Jackson
MS 39213-5205
Mailing Address P. O. Box 68483
Jackson
MS 39286
Practice Telephone 6013219104
Practice Fax Number 6013219138
Mailing Telephone 6013219104
Mailing Fax Number 6013219138
Enumeration Date 2009-10-07
Last Update Date 2011-11-18
Authorized Official Name MS. MARY LYNN HILLIARD (FAMILY NURSE PRACTITIONER)
Authorized Official Telephone 6012098432
Authorized Official Credential APRN, BC, FNP
Is Organization Subpart Y
Parent Organization Name MORE CONVENIENT CARE CENTER LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
R656046 MS Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS MEDICARE 500001874 01
MS 00115980 05

Other Provider/Organization Names

Other Name Type Code
More Health Care LLC Doing Business As Name - Organization

Office Location

Street Address 4612 MEDGAR EVERS BLVD
SUITE 10
City JACKSON
State MS
Zip Code 39213-5205

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710545488 Primary and Behavioral Healthcare Services, Pa Clinic/Center 717 E. Fortification St., Jackson, MS 39202-2402 2019-05-29
1366928087 Primary Care - South Limited Clinic/Center 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 2018-07-16
1114427507 Advance Care, LLC Clinic/Center 14 Northtown Dr Ste 105, Jackson, MS 39211-3018 2018-02-13
1467841742 Dc Medical Services Inc Clinic/Center 7 Stonebridge Blvd Ste C, Jackson, TN 38305-2049 2015-01-09
1558779728 Rural Health Group, Inc. Clinic/Center 9742 Nc Highway 305, Jackson, NC 27845-9799 2014-07-31
1043573199 Fondren Medical Clinic Clinic/Center 4436 N State St, Suite A-1, Jackson, MS 39206-5334 2012-06-22
1043503832 Mid Jackson Family Health Clinic Clinic/Center 514c Woodrow Wilson Dr, Jackson, MS 39216 2011-05-26
1518121326 University Nursing Associates Pllc Clinic/Center 136 W Ash St, Jackson, MS 39202-2217 2008-07-11
1114194347 Community Action Committee of Pike County Clinic/Center 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 2008-05-16
1407968738 Minor Med Care, P.a. Clinic/Center 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 2006-08-31
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Competitor

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City JACKSON
Zip Code 39213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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