LAKE ONTARIO PROMPT MEDICAL CARE PLLC NPI 1407285232

NPI Information

NPI: 1407285232
Provider Name: LAKE ONTARIO PROMPT MEDICAL CARE, PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
300 STATE ROUTE 104
SUITE 2
OSWEGO, NY
ZIP 13126
Phone: (315) 216-4036
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LAKE ONTARIO PROMPT MEDICAL CARE, PLLC is an urgent care clinic center in Oswego, NY. LAKE ONTARIO PROMPT MEDICAL CARE, PLLC NPI is 1407285232. The provider is registered as an organization entity type.

The provider's business location address is:

300 STATE ROUTE 104
SUITE 2
OSWEGO, NY
ZIP 13126-956
Phone: (315) 216-4036
Fax: (315) 216-4560

The provider's authorized official is Sunil Ram .
The authorized official title is Ceo and has the following contact phone number (315) 216-6687.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 4/20/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	164385	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003928953	OTHER	NEW YORK	NPI
2	3884939	MEDICAID	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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