MAXEM URGENT CARE NPI 1699432765

NPI Information

NPI: 1699432765
Provider Name: MAXEM URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 25D2257883

Address:
4910 OLD HIGHWAY 11
HATTIESBURG, MS
ZIP 39402
Phone: (228) 424-0806
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MAXEM URGENT CARE is an urgent care clinic center in Hattiesburg, MS. MAXEM URGENT CARE NPI is 1699432765. The provider is registered as an organization entity type.

The provider's business location address is:

4910 OLD HIGHWAY 11
HATTIESBURG, MS
ZIP 39402-767
Phone: (228) 424-0806

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 25D2257883 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.

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

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

NPI Synchronization or Removal

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