| Urgent Care Of Long Beach Llc | |
|
200 W Railroad St Long Beach MS 39560-4517 | |
| (228) 864-0622 | |
| (228) 864-7958 |
| Full Name | Urgent Care Of Long Beach Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 W Railroad St, Long Beach, Mississippi |
| Authorized Official Name and Position | Lydia K Rayner (OWNER) |
| Authorized Official Contact | 2288640622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Of Long Beach Llc 200 W Railroad St P O Box 869 Long Beach MS 39560-4517 Ph: (228) 864-0622 | Urgent Care Of Long Beach Llc 200 W Railroad St Long Beach MS 39560-4517 Ph: (228) 864-0622 |
| NPI Number | 1750592036 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750592036 | NPI | - | NPPES |
| 09879396 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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