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CHAMBANA URGENT CARE AND WALK IN CLINIC NPI 1770358871


NPI Information

NPI: 1770358871
Provider Name: CHAMBANA URGENT CARE AND WALK IN CLINIC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 14D2297136

Address:
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL
ZIP 61821
Phone: (734) 674-8330
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CHAMBANA URGENT CARE AND WALK IN CLINIC is an urgent care clinic center in Champaign, IL. CHAMBANA URGENT CARE AND WALK IN CLINIC NPI is 1770358871. The provider is registered as an organization entity type.

The provider's business location address is:

1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL
ZIP 61821-098
Phone: (734) 674-8330

The provider's authorized official is Arshad Javed .
The authorized official title is Supervisor and has the following contact phone number (734) 674-8330.

The CLIA number assigned to this NPI record is 14D2297136 - other - urgent care/phys office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2023 and was last updated on 2/14/2024.


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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