CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE (NPI# 1801174230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801174230 |
| Entity Type | Organization |
| Organization Name | CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE |
| Practice Address |
303b Highway 90 Bay St Louis MS 39520-2832 |
| Mailing Address |
Po Box 17708 Hattiesburg MS 39404-7708 |
| Practice Telephone | 2284674431 |
| Practice Fax Number | 2284674443 |
| Mailing Telephone | 2284674431 |
| Mailing Fax Number | 2288467444 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | MR. BRANDON CHAMPION (ADMINISTRATOR) |
| Authorized Official Telephone | 2284674431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
303B HIGHWAY 90 |
| City | BAY ST LOUIS |
| State | MS |
| Zip Code | 39520-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407121395 | Champion Family Medical & Wellness | Nurse Practitioner | 303b Highway 90, Bay St Louis, MS 39520-2832 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470568 | Michael Stephens | Student in an Organized Health Care Education/Training Program | 236 Eighth Street, Bay Saint Louis, MS 39520 | 2020-09-06 |
| 1437400959 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 600 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1245581768 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 602 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1912258427 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6590 Lakeshore Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1942551445 | Hancock Medical Health Services | Nurse Practitioner | 750 Blue Meadow Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1134404809 | Hancock Chiropractic LLC | Chiropractor | 806 Hwy 90, Bay St. Louis, MS 39520 | 2011-10-13 |
| 1669762902 | Stacey Marie Kreher | Nurse Practitioner | 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 | 2011-04-07 |
| 1639352123 | Joyce Deloris Buie | Nurse Practitioner | 3062 Longfellow Rd, #25, Bay St. Louis, MS 39520 | 2007-12-07 |
| 1336346451 | Ochsner Medical Center - Hancock LLC | Clinic/Center | 3068 Port and Harbor Dr, Bay St Louis, MS 39520 | 2007-07-02 |
| 1043437684 | The Beach Surgical Group | Clinic/Center | 952 Green Meadow Rd., Bay St Louis, MS 39520 | 2007-04-18 |
| Find all providers in zip 39520 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508010828 | Urgent Care Inc | Clinic/Center | 852 Highway 90, Bay St Louis, MS 39520-2701 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1497384895 | Alliance Urgent Care Clinic | Clinic/Center | 1938 Crescent Meadows Dr Ste C, Holly Springs, MS 38635-7419 | 2020-04-07 |
| 1174168637 | Redmed, LLC | Clinic/Center | 1902 Jackson Ave W Ste B, Oxford, MS 38655-4206 | 2019-11-08 |
| 1568007094 | Redmed, LLC | Clinic/Center | 105a Quality Ln, Senatobia, MS 38668-2317 | 2019-11-07 |
| 1780151381 | Express Care of Cleveland, LLC | Clinic/Center | 609 N Davis Ave Ste 105, Cleveland, MS 38732-2355 | 2018-11-01 |
| 1316420888 | Hunter Asset Holding LLC | Clinic/Center | 350 W Woodrow Wilson Ave Ste 311b, Jackson, MS 39213-7682 | 2018-09-11 |
| 1366922023 | Physician Services of The Gulf Coast LLC | Clinic/Center | 921 Cedar Lake Rd Ste E, Biloxi, MS 39532-2126 | 2018-08-21 |
| 1235619479 | Maxem Health Urgent Care Mccomb | Clinic/Center | 101 Edgewood Dr, Mccomb, MS 39648-2043 | 2018-08-16 |
| 1700372034 | Gmuc of Lucedale, PC | Clinic/Center | 103 W Frontage Rd Ste C, Lucedale, MS 39452-5836 | 2018-07-10 |
| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | BAY ST LOUIS |
| Zip Code | 39520 |
Please comment or provide details below to improve the information on CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.