CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR NPI 1841944196

NPI Information

NPI: 1841944196
Provider Name: CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2850 EASTEX FWY # 100
BEAUMONT, TX
ZIP 77703
Phone: (409) 347-8989
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CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR is a primary care nurse practitioner in Beaumont, TX. CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR NPI is 1841944196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2850 EASTEX FWY # 100
BEAUMONT, TX
ZIP 77703-645
Phone: (409) 347-8989
Fax: (409) 347-8979

The provider's authorized official is Brandi Pickering .
The authorized official title is Credentialing and has the following contact phone number (409) 239-9467.

The enumeration date for this NPI number is 2/7/2022 and was last updated on 7/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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