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MAXEM HEALTH URGENT CARE SLIDELL NPI 1619409158


NPI Information

NPI: 1619409158
Provider Name: MAXEM HEALTH URGENT CARE SLIDELL

Doing Business As: SLIDELL URGENT CARE

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

Specialization: Urgent Care

CLIA Number: 19D2132985

Address:
170 NORTHSHORE BLVD
SLIDELL, LA
ZIP 70460
Phone: (228) 223-1927
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MAXEM HEALTH URGENT CARE SLIDELL is an urgent care clinic center in Slidell, LA. MAXEM HEALTH URGENT CARE SLIDELL NPI is 1619409158. The provider is registered as an organization entity type.
The provider Is Doing Business As Slidell Urgent Care.

The provider's business location address is:

170 NORTHSHORE BLVD
SLIDELL, LA
ZIP 70460-820
Phone: (228) 223-1927

The provider's authorized official is Ronnie Ali .
The authorized official title is Owner and has the following contact phone number (228) 223-1927.

The CLIA number assigned to this NPI record is 19D2132985 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2017 and was last updated on 4/3/2017.


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: 5/5/2024

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