# NORTHSIDE URGENT CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427155043
- **Authorized official:** DR. FRANK L JAYAKODY MD (PRESIDENT)
- **Authorized official phone:** (931) 684-1990

## Contact information

- **Practice address:** 1701 N MAIN ST, SUITE E, SHELBYVILLE, TN 37160-2303
- **Practice address phone:** (931) 684-1990
- **Practice address fax:** (931) 680-5602
- **Mailing address:** 1701 N MAIN ST, SUITE E, SHELBYVILLE, TN 37160-2303
- **Mailing address phone:** (931) 684-1990
- **Mailing address fax:** (931) 680-5602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 08/22/2020
