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MY URBAN CLINIC INC NPI 1053509752


NPI Information

NPI: 1053509752
Provider Name: MY URBAN CLINIC, INC

Doing Business As: MY CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
306 BEALL AVE
WOOSTER, OH
ZIP 44691
Phone: (330) 264-0247
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MY URBAN CLINIC, INC is a clinic center in Wooster, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MY URBAN CLINIC, INC NPI is 1053509752. The provider is registered as an organization entity type.
The provider Is Doing Business As My Clinic.

The provider's business location address is:

306 BEALL AVE
WOOSTER, OH
ZIP 44691-520
Phone: (330) 264-0247
Fax: (330) 264-0463

The provider's authorized official is Toney E Means .
The authorized official title is President and has the following contact phone number (713) 278-8710.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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