MEDHEALTH NPI 1558762690

NPI Information

  • NPI: 1558762690
  • Provider Name: MEDHEALTH
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: METHODIST MEDICAL GROUP
  • CLIA Number: 45D2146780
  • Address: 4560 LAKE RIDGE PKWY STE 110
    GRAND PRAIRIE, TX
    ZIP 75052
  • Phone: (972) 522-7778

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NPI Details

MEDHEALTH is an urgent care clinic center in Grand Prairie, TX. MEDHEALTH NPI is 1558762690. The provider is registered as an organization entity type.
The provider Is Doing Business As Methodist Medical Group.

The provider's business location address is:

4560 LAKE RIDGE PKWY STE 110
GRAND PRAIRIE, TX
ZIP 75052-707
Phone: (972) 522-7778
Fax: (972) 522-7779

The provider's authorized official is George A Williams .
The authorized official title is President and has the following contact phone number (214) 884-4744.

The CLIA number assigned to this NPI record is 45D2146780 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 5/12/2020.

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
1261QU0200XClinic/CenterUrgent CareYes

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: 11/21/2025

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