METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES (NPI# 1821272501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821272501 |
| Entity Type | Organization |
| Organization Name | METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES |
| Other Organization Name | METHODIST MINOR MEDICAL OLIVE BRANCH |
| Practice Address |
5480 Goodman Rd Suite 1 Olive Branch MS 38654-7902 |
| Mailing Address |
Po Box 1000 Dept 38 Memphis TN 38148-0001 |
| Practice Telephone | 6628939800 |
| Practice Fax Number | 6628939827 |
| Mailing Telephone | 9015161489 |
| Mailing Fax Number | 9013808081 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | EUGENE CASHMAN (VP & CEO AFFILIATED SERVICES) |
| Authorized Official Telephone | 9015161434 |
| Is Organization Subpart | Y |
| Parent Organization Name | METHODIST LEBONHEUR HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Methodist Minor Medical Olive Branch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962661991 | Methodist Healthcare Community Care Associates | Clinic/Center | 6400 Shelby View Dr, Suite 101, Memphis, TN 38134-7659 | 2008-06-05 |
| 1699941195 | Methodist Healthcare Community Care Associates | Clinic/Center | 6400 Shelby View Dr, Suite 101, Memphis, TN 38134-7659 | 2008-05-05 |
| 1326152455 | Methodist Healthcare Community Care Associates | Clinic/Center | 8071 Winchester Rd, Memphis, TN 38125-8206 | 2006-08-18 |
| 1194839241 | Methodist Healthcare Community Care Associates | Clinic/Center | 8045 Club Pkwy, Cordova, TN 38016-5977 | 2006-08-18 |
| Street Address |
5480 GOODMAN RD SUITE 1 |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393183 | Diana Drumwright Dedmon | Nurse Practitioner | 5480 Goodman Rd, Olive Branch, MS 38654-7902 | 2006-06-10 |
| 1124329016 | Vani Kudlur Chandrappa | Pediatrics | 5480 Goodman Rd, Olive Branch, MS 38654-7902 | 2010-11-08 |
| 1952614570 | Toni Blair | Nurse Practitioner | 5480 Goodman Rd, Olive Branch, MS 38654-7902 | 2010-07-24 |
| 1366762155 | Laxmisilpa Gadiparthi Hansen | Obstetrics & Gynecology | 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | 2010-06-03 |
| 1538393905 | Thomas Bass Beasley | Surgery | 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | 2009-05-13 |
| 1932372307 | Lebonheur Urgent Care, LLC | Clinic/Center | 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | 2008-04-08 |
| 1336270156 | Ashley Buescher | Nurse Practitioner | 5480 Goodman Rd, Olive Branch, MS 38654-7902 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649612680 | Olive Branch Urgent Care #1 LLC | Clinic/Center | 5142 Goodman Road, Suite 107, Olive Branch, MS 38654 | 2013-07-18 |
| 1932372307 | Lebonheur Urgent Care, LLC | Clinic/Center | 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1497384895 | Alliance Urgent Care Clinic | Clinic/Center | 1938 Crescent Meadows Dr Ste C, Holly Springs, MS 38635-7419 | 2020-04-07 |
| 1174168637 | Redmed, LLC | Clinic/Center | 1902 Jackson Ave W Ste B, Oxford, MS 38655-4206 | 2019-11-08 |
| 1568007094 | Redmed, LLC | Clinic/Center | 105a Quality Ln, Senatobia, MS 38668-2317 | 2019-11-07 |
| 1780151381 | Express Care of Cleveland, LLC | Clinic/Center | 609 N Davis Ave Ste 105, Cleveland, MS 38732-2355 | 2018-11-01 |
| 1316420888 | Hunter Asset Holding LLC | Clinic/Center | 350 W Woodrow Wilson Ave Ste 311b, Jackson, MS 39213-7682 | 2018-09-11 |
| 1366922023 | Physician Services of The Gulf Coast LLC | Clinic/Center | 921 Cedar Lake Rd Ste E, Biloxi, MS 39532-2126 | 2018-08-21 |
| 1235619479 | Maxem Health Urgent Care Mccomb | Clinic/Center | 101 Edgewood Dr, Mccomb, MS 39648-2043 | 2018-08-16 |
| 1700372034 | Gmuc of Lucedale, PC | Clinic/Center | 103 W Frontage Rd Ste C, Lucedale, MS 39452-5836 | 2018-07-10 |
| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.