| Charger Health And Wellness | |
|
399 N 5th St Oxford MS 38655-3600 | |
| (662) 715-3331 | |
| (662) 715-3021 |
| Full Name | Charger Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 399 N 5th St, Oxford, Mississippi |
| Authorized Official Name and Position | Tammy G Chapman (CFO) |
| Authorized Official Contact | 6622248951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charger Health And Wellness Po Box 92 Ashland MS 38603-0092 Ph: (662) 224-8951 | Charger Health And Wellness 399 N 5th St Oxford MS 38655-3600 Ph: (662) 715-3331 |
| NPI Number | 1760077481 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 04/21/2022 |
| Medicare PECOS PAC ID | 3274513528 |
|---|---|
| Medicare Enrollment ID | O20210527001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760077481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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