| Weekends Plus Urgent Care Llc | |
|
3189 Highway 45 N Suite H Columbus MS 39705-1251 | |
| (662) 240-2975 | |
| (662) 434-4810 |
| Full Name | Weekends Plus Urgent Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3189 Highway 45 N, Columbus, Mississippi |
| Authorized Official Name and Position | Judy Trenary (FNP/OWNER) |
| Authorized Official Contact | 6622402975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weekends Plus Urgent Care Llc 3189 Highway 45 N Suite H Columbus MS 39705-1251 Ph: (662) 240-2975 | Weekends Plus Urgent Care Llc 3189 Highway 45 N Suite H Columbus MS 39705-1251 Ph: (662) 240-2975 |
| NPI Number | 1639625411 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 03/14/2017 |
| Medicare PECOS PAC ID | 6608151683 |
|---|---|
| Medicare Enrollment ID | O20170315000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639625411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R850607 (Mississippi) | Primary |
| Provider Name | Lisa A Dement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619918521 PECOS PAC ID: 9931167772 Enrollment ID: I20041228000278 |
| Provider Name | Judy T Trenary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245349778 PECOS PAC ID: 1557367968 Enrollment ID: I20061006000610 |
| Provider Name | Micah Alexander Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558061 PECOS PAC ID: 5991016503 Enrollment ID: I20150624000695 |
| Provider Name | Alisha Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866681 PECOS PAC ID: 8224326970 Enrollment ID: I20161012000769 |
| Provider Name | Shaqualar M Gandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700320660 PECOS PAC ID: 9133402282 Enrollment ID: I20170215001348 |
| Provider Name | Stephanie Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508335878 PECOS PAC ID: 8820412265 Enrollment ID: I20200720000399 |
| Provider Name | Cynthia Nonamaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952913618 PECOS PAC ID: 1951719228 Enrollment ID: I20210427000106 |
| Provider Name | Erica Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114564077 PECOS PAC ID: 2769869494 Enrollment ID: I20220518000356 |
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