| Ouch Urgent Care Inc | |
|
1710 N Gloster St Tupelo MS 38804-1216 | |
| (662) 840-6824 | |
| Not Available |
| Full Name | Ouch Urgent Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1710 N Gloster St, Tupelo, Mississippi |
| Authorized Official Name and Position | Jay Howell (CHIEF REVENUE OFFICER) |
| Authorized Official Contact | 6622055999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ouch Urgent Care Inc 1710 N Gloster St Tupelo MS 38804-1216 Ph: (662) 840-6824 | Ouch Urgent Care Inc 1710 N Gloster St Tupelo MS 38804-1216 Ph: (662) 840-6824 |
| NPI Number | 1770968919 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 4789987835 |
|---|---|
| Medicare Enrollment ID | O20160122001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770968919 | NPI | - | NPPES |
| 09229002 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian D Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851338602 PECOS PAC ID: 5496759979 Enrollment ID: I20060918000159 |
| Provider Name | Velma Sue Morrisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043213853 PECOS PAC ID: 3678585171 Enrollment ID: I20100622000744 |
| Provider Name | Jennifer L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013357615 PECOS PAC ID: 4486897139 Enrollment ID: I20130827000864 |
| Provider Name | Sheri L Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891233300 PECOS PAC ID: 9335423730 Enrollment ID: I20170303000033 |
| Provider Name | Linda Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679021588 PECOS PAC ID: 8628342110 Enrollment ID: I20170921003193 |
| Provider Name | Eurieka Shumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083186563 PECOS PAC ID: 0244663243 Enrollment ID: I20191205001096 |
| Provider Name | Ashley Sudduth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306370648 PECOS PAC ID: 8022371129 Enrollment ID: I20200326002434 |
| Provider Name | Alison R Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174132112 PECOS PAC ID: 7416376686 Enrollment ID: I20201007003166 |
| Provider Name | Hillary Earnest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659984862 PECOS PAC ID: 4284054289 Enrollment ID: I20201013001550 |
| Provider Name | Amanda Jeanette Hulsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447922364 PECOS PAC ID: 0749673580 Enrollment ID: I20220131001582 |
| Provider Name | Sanjuana Nicole Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609576529 PECOS PAC ID: 2668829540 Enrollment ID: I20231114003862 |
| Provider Name | Maggie Aleixandrea Macias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972203404 PECOS PAC ID: 9830534650 Enrollment ID: I20240301002858 |
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