GULF COAST URGENT CARE, LLC
NPI 1467137372
Clinic/Center - Urgent Care in Biloxi, MS
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 25D2281132
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 05-01-2027
About GULF COAST URGENT CARE, LLC
This page provides the complete NPI Profile along with additional information for Gulf Coast Urgent Care, Llc, a provider established in Biloxi, Mississippi operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1467137372 assigned on June 2023. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Deanna Nichole Blackmore Om (Director Of Clinic Operations/ Om)
- NPI
- 1467137372 Verify this NPI
- Provider Name
- GULF COAST URGENT CARE, LLC
- Entity Type
- Organization
- Location Address
- 1025 DIVISION ST STE D1 BILOXI, MS 39530
- Location Phone
- (228) 382-4005
- Location Fax
- (228) 267-3594
- Mailing Address
- 1025 DIVISION ST STE D1 BILOXI, MS 39530
- Mailing Phone
- (228) 382-4005
- Mailing Fax
- (228) 267-3594
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2023
- Last Update Date
- 06-19-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2281132
- Facility Type
- Independent
- Certificate Effective Date
- May 02, 2025
- Certificate Expiration Date
- May 01, 2027
- Laboratory Director
- KELLY L. TINSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Gulf Coast Urgent Care, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467137372, enumerated as an "organization" on June 19, 2023.
The provider is located at 1025 DIVISION ST STE D1 BILOXI, MS 39530 and the phone number is (228) 382-4005.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
