MARIA MEDICAL GROUP LLC NPI 1053740092

NPI Information

NPI: 1053740092
Provider Name: MARIA MEDICAL GROUP, LLC

Doing Business As: AFC DOCTORS EXPRESS

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 17D2069671

Address:
3161 N ROCK RD
WICHITA, KS
ZIP 67226
Phone: (417) 576-6713
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MARIA MEDICAL GROUP, LLC is an urgent care clinic center in Wichita, KS. MARIA MEDICAL GROUP, LLC NPI is 1053740092. The provider is registered as an organization entity type.
The provider Is Doing Business As Afc Doctors Express.

The provider's business location address is:

3161 N ROCK RD
WICHITA, KS
ZIP 67226-312
Phone: (417) 576-6713

The provider's authorized official is Samrah Mansoor .
The authorized official title is Medical Director and has the following contact phone number (417) 988-8001.

The CLIA number assigned to this NPI record is 17D2069671 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/8/2013 and was last updated on 11/8/2013.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	207278201	MEDICAID	MISSOURI
2	151250008	OTHER	MISSOURI	MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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