OrganizationActive
Prime Urgent Medical Clinic
NPI 1891171351 · Clinic Pharmacy · Southaven, MS
Provider details
- NPI number
- 1891171351
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Clark Levi, Member(228) 447-3823
- License
- 14440 (MS)
Specialties & taxonomies
Suppliers
Practice location
176 Goodman Rd W
Southaven, MS 38671-9405
Phone: (662) 510-6981
Fax: (662) 510-6987
Approximate (ZIP-level) locationGet directions
Mailing address
1019 Government St
Ocean Springs, MS 39564-3860
Other names (DBA / former)
- Doing business as
- Prime Urgent Medical Clinic
Registry dates
- Enumerated
- 2015-08-07
- Last updated
- 2016-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.