PREMIER FAMILY CLINIC & URGENT CARE LLC (NPI# 1154671824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154671824 |
Entity Type | Organization |
Organization Name | PREMIER FAMILY CLINIC & URGENT CARE LLC |
Practice Address |
312 Park Plaza Dr New Albany MS 38652-3104 |
Practice Telephone | 6622131225 |
Mailing Telephone | 6625348780 |
Enumeration Date | 2012-09-10 |
Last Update Date | 2013-06-18 |
Authorized Official Name | SHELIA TICE (PROVIDER/MANAGER) |
Authorized Official Telephone | 6625348780 |
Authorized Official Credential | F.N.P.B.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
R857901 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | NPIENUMERATOR.COM | 1255617973 | 01 |
Street Address |
312 PARK PLAZA DR |
City | NEW ALBANY |
State | MS |
Zip Code | 38652-3104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
Find all providers in zip 38652 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
1538575584 | Odyssey Primary Care Center, LLC | Clinic/Center | 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 | 2014-07-09 |
1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
1447445317 | Leslie Strouse, M.d., Psc | Clinic/Center | 2625 Charlestown Rd, New Albany, IN 47150-2536 | 2007-09-13 |
1275164220 | Hamburg Family Health LLC | Clinic/Center | 5130 Charlestown Rd Ste 1, New Albany, IN 47150-9483 | 2020-01-29 |
1235770421 | Healing Hands Family Medicine, LLC | Clinic/Center | 1915 West St Ste A, New Albany, IN 47150-5083 | 2019-09-30 |
1043861792 | Healing Hands Family Medicine, LLC | Clinic/Center | 1915 West St Ste A, New Albany, IN 47150-5083 | 2019-09-24 |
1861860553 | Floyd Memorial Hospital | Clinic/Center | 1850 State St, New Albany, IN 47150-4990 | 2015-09-11 |
1417347162 | New Albany Medical Clinic | Clinic/Center | 400 Doctors Dr, New Albany, MS 38652-3109 | 2015-02-03 |
1104246271 | Heart Attack and Stroke Prevention Center of New Albany, LLC | Clinic/Center | 226 Starlyn Ave, New Albany, MS 38652-2428 | 2014-04-16 |
Find all providers in NEW ALBANY |
City | NEW ALBANY |
Zip Code | 38652 |
Please comment or provide details below to improve the information on PREMIER FAMILY CLINIC & URGENT CARE LLC.
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.