Memorial Urgent Care

LBN: Mppg, Inc.
Memorial Urgent Care is an health care organization with primary practice located at 110 Medical Park Dr , Pooler GA 31322-1956. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Mppg, Inc. can be contacted via phone (921) 748-1515, or through Maddox, Robin J. via phone (912) 350-9335.

Contact Information

Primary practice address
110 Medical Park Dr Pooler GA 31322-1956
Phone: (921) 748-1515
Fax: (912) 748-7707
Website:
Map and Directions
Authorized official contact:
Name: Maddox, Robin J.
Phone: (912) 350-9335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1396086062
LBN Legal business name Mppg, Inc.
DBA Doing business as Memorial Urgent Care
Authorized official Maddox, Robin J.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2013
Last updated May 13th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396086062 NPPES
Georgia MEDICAID 30003167A
Georgia Other CH5121

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