Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
261QC1500X | |||
Adolescent and Children Mental Health |
261QM0855X | |||
Corporate Health |
261QC1800X | |||
Health Service |
261QH0100X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Migrant Health |
261QM1000X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Primary Care |
261QP2300X | |||
Private Vehicle |
347C00000X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1114603255 |
| LBN Legal business name | EMPASS MEDICAL SERVICES, P.A. |
| Authorized official | JOHONNIUSS CHEMWENO - (AUTHORIZED OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/23/2023 |
| Last updated | 06/23/2023 - About 3 years ago |
| Identifiers | n/a |
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EMPASS MEDICAL SERVICES, P.A.
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