| Ur, Incorporated | |
|
901 Highway 80 E Clinton MS 39056-5244 | |
| (601) 927-0188 | |
| (601) 292-7998 |
| Full Name | Ur, Incorporated |
|---|---|
| Speciality | Social Worker |
| Location | 901 Highway 80 E, Clinton, Mississippi |
| Authorized Official Name and Position | Philip B Massey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6019270188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ur, Incorporated Po Box 2305 Clinton MS 39060-2305 Ph: (601) 272-2202 | Ur, Incorporated 901 Highway 80 E Clinton MS 39056-5244 Ph: (601) 927-0188 |
| NPI Number | 1417370313 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Medicare PECOS PAC ID | 7012214638 |
|---|---|
| Medicare Enrollment ID | O20160328000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417370313 | NPI | - | NPPES |
| 06472833 | Medicaid | MS |
| Provider Name | Joanna R Mccollum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649390782 PECOS PAC ID: 7214021799 Enrollment ID: I20070913000897 |
| Provider Name | Philip Massey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306242458 PECOS PAC ID: 3870890403 Enrollment ID: I20160328000980 |
| Provider Name | Lameka Q Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720631161 PECOS PAC ID: 2668750472 Enrollment ID: I20200506000843 |
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