Provider Demographics
NPI:1366836090
Name:URGENT MEDICAL CLINIC INC
Entity Type:Organization
Organization Name:URGENT MEDICAL CLINIC INC
Other - Org Name:PRIME URGENT MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-510-6985
Mailing Address - Street 1:3680 S HOUSTON LEVEE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-9147
Mailing Address - Country:US
Mailing Address - Phone:901-854-7620
Mailing Address - Fax:
Practice Address - Street 1:3680 S HOUSTON LEVEE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-9147
Practice Address - Country:US
Practice Address - Phone:901-854-7620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URGENT MEDICAL CLINIC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-19
Last Update Date:2015-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site