CHANNING ENTERPRISE INC


Address: 1009 Baker St, Fort Worth, TX 76104-7211
Phone: 8179268333

CHANNING ENTERPRISE INC (NPI# 1649457896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649457896
Entity Type Organization
Organization Name CHANNING ENTERPRISE INC
Practice Address 1009 Baker St
Fort Worth
TX 76104-7211
Mailing Address 7309 Fredricksburg Dr
Forest Hill
TX 76140-2517
Practice Telephone 8179268333
Enumeration Date 2008-01-29
Last Update Date 2008-01-29
Authorized Official Name MR. BILLY EARL (ASST.CEO)
Authorized Official Telephone 8173661344
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
TX Ambulatory Health Care Facilities

Office Location

Street Address 1009 BAKER ST
City FORT WORTH
State TX
Zip Code 76104-7211

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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