| Organization Name: | ONCALL MEDICAL CLINIC, PLLC |
| NPI Number: | 1184941676 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD FLOYD ALDRIDGE (MANAGER) |
| Mailing Address: | 3091 Bienville Blvd Ocean Springs |
| State: | MS US |
| Postal Code: | 395644308 |
| Phone Number: | 2288185155 |
| Fax Number: | 2288185159 |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305R00000X |
| License Number: | 11483 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Preferred Provider Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |