Provider Demographics
NPI:1114188976
Name:AFFORDABLE MEDICAL CARE LLC
Entity Type:Organization
Organization Name:AFFORDABLE MEDICAL CARE LLC
Other - Org Name:AFFORDABLE URGENT MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-429-9111
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-0326
Mailing Address - Country:US
Mailing Address - Phone:662-429-9111
Mailing Address - Fax:662-429-6111
Practice Address - Street 1:900 E COMMERCE ST
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-2433
Practice Address - Country:US
Practice Address - Phone:662-429-9111
Practice Address - Fax:662-429-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care