Provider Demographics
NPI:1922519289
Name:CHESS GROUP, LLC
Entity Type:Organization
Organization Name:CHESS GROUP, LLC
Other - Org Name:EMURGENT CARE OF MINDEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIGENER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-371-2273
Mailing Address - Street 1:1117 HOMER RD.
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055
Mailing Address - Country:US
Mailing Address - Phone:318-371-2273
Mailing Address - Fax:318-371-3112
Practice Address - Street 1:1117 HOMER RD
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3027
Practice Address - Country:US
Practice Address - Phone:318-371-2273
Practice Address - Fax:318-371-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1922519289OtherNPI