| Quick Care Clinic Llc | |
|
350 Sunset Dr Grenada MS 38901-4613 | |
| (662) 307-2750 | |
| (662) 307-2438 |
| Full Name | Quick Care Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 Sunset Dr, Grenada, Mississippi |
| Authorized Official Name and Position | Salina Blankenship (CLINIC MANAGER) |
| Authorized Official Contact | 6623072750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quick Care Clinic Llc 350 Sunset Dr Grenada MS 38901-4613 Ph: (662) 307-2750 | Quick Care Clinic Llc 350 Sunset Dr Grenada MS 38901-4613 Ph: (662) 307-2750 |
| NPI Number | 1386035202 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 02/13/2015 |
| Medicare PECOS PAC ID | 2961713748 |
|---|---|
| Medicare Enrollment ID | O20150619001722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386035202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jill W Leverette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952734139 PECOS PAC ID: 2668608381 Enrollment ID: I20131202000206 |
| Provider Name | Carmie Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629329289 PECOS PAC ID: 8820309610 Enrollment ID: I20150710000974 |
| Provider Name | Victoria Jo Sturdivant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861934184 PECOS PAC ID: 3072898824 Enrollment ID: I20170320000344 |
| Provider Name | Jenny Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669971180 PECOS PAC ID: 2567724859 Enrollment ID: I20180327000139 |
| Provider Name | Laura H Flippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720554397 PECOS PAC ID: 8921349655 Enrollment ID: I20190408000681 |
| Provider Name | Amber B Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922767938 PECOS PAC ID: 8729471792 Enrollment ID: I20220215002686 |
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