Organization Name: | CHICOPEE URGENT CARE, PLLC |
NPI Number: | 1013259472 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AHMED ELMOGY (OWNER, PHYSICIAN) |
Mailing Address: | 1505 Memorial Dr Chicopee |
State: | MA US |
Postal Code: | 010203900 |
Phone Number: | 4133314336 |
Fax Number: | 4133314339 |
NPI Enumeration Date: | 03/25/2013 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |