Provider Demographics
NPI:1639625411
Name:WEEKENDS PLUS URGENT CARE LLC
Entity Type:Organization
Organization Name:WEEKENDS PLUS URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENARY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:662-240-2975
Mailing Address - Street 1:3189 HIGHWAY 45 N
Mailing Address - Street 2:SUITE H
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-1251
Mailing Address - Country:US
Mailing Address - Phone:662-240-2975
Mailing Address - Fax:662-434-4810
Practice Address - Street 1:3189 HIGHWAY 45 N
Practice Address - Street 2:SUITE H
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1251
Practice Address - Country:US
Practice Address - Phone:662-240-2975
Practice Address - Fax:662-434-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR850607261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center