Provider Demographics
NPI:1780017228
Name:MID-SOUTH URGENT CARE, PLLC
Entity Type:Organization
Organization Name:MID-SOUTH URGENT CARE, PLLC
Other - Org Name:ONPOINTE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-421-5000
Mailing Address - Street 1:PO BOX 5165
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-5165
Mailing Address - Country:US
Mailing Address - Phone:901-421-5000
Mailing Address - Fax:901-572-1241
Practice Address - Street 1:1204 N HOUSTON LEVEE RD
Practice Address - Street 2:SUITE 114
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6687
Practice Address - Country:US
Practice Address - Phone:901-421-5000
Practice Address - Fax:901-572-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-20
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency CareGroup - Multi-Specialty