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CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE NPI 1801174230


NPI Information

NPI: 1801174230
Provider Name: CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
303B HIGHWAY 90
BAY ST LOUIS, MS
ZIP 39520
Phone: (228) 467-4431
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CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE is an urgent care clinic center in Bay St Louis, MS. CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE NPI is 1801174230. The provider is registered as an organization entity type.

The provider's business location address is:

303B HIGHWAY 90
BAY ST LOUIS, MS
ZIP 39520-832
Phone: (228) 467-4431
Fax: (228) 467-4443

The provider's authorized official is Brandon Champion .
The authorized official title is Administrator and has the following contact phone number (228) 467-4431.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 8/2/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareNo
2261QU0200XClinic/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: 4/28/2024

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