Provider Demographics
NPI:1003529652
Name:RAPID TRACK URGENT CARE LLC
Entity Type:Organization
Organization Name:RAPID TRACK URGENT CARE LLC
Other - Org Name:RAPID TRACK URGENT CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:662-417-2577
Mailing Address - Street 1:1201 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:GRENADA
Mailing Address - State:MS
Mailing Address - Zip Code:38901-4063
Mailing Address - Country:US
Mailing Address - Phone:662-417-2577
Mailing Address - Fax:662-442-2350
Practice Address - Street 1:1201 SUNSET DR
Practice Address - Street 2:
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-4063
Practice Address - Country:US
Practice Address - Phone:662-417-2577
Practice Address - Fax:662-442-2350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care