Provider Demographics
NPI:1114254901
Name:BATESVILLE EMERGENCY PHYSICIANS
Entity Type:Organization
Organization Name:BATESVILLE EMERGENCY PHYSICIANS
Other - Org Name:BATESVILLE URGENT CARE AND AFTER HOURS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISSY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORKERN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-573-0386
Mailing Address - Street 1:314 WESTMORELAND CIR
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-8456
Mailing Address - Country:US
Mailing Address - Phone:601-573-0386
Mailing Address - Fax:662-563-2183
Practice Address - Street 1:310 HIGHWAY 6 W
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-2559
Practice Address - Country:US
Practice Address - Phone:601-573-9386
Practice Address - Fax:662-563-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center