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ALLIANCE PHYSICIANS INC NPI 1639582182


NPI Information

NPI: 1639582182
Provider Name: ALLIANCE PHYSICIANS INC

Doing Business As: KETTERING HEALTH URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 36D2127692

Address:
3371 KEMP RD
BEAVERCREEK, OH
ZIP 45431
Phone: (937) 458-4200
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ALLIANCE PHYSICIANS INC is an urgent care clinic center in Beavercreek, OH. ALLIANCE PHYSICIANS INC NPI is 1639582182. The provider is registered as an organization entity type.
The provider Is Doing Business As Kettering Health Urgent Care.

The provider's business location address is:

3371 KEMP RD
BEAVERCREEK, OH
ZIP 45431-514
Phone: (937) 458-4200
Fax: (937) 458-4209

The provider's authorized official is Timothy Y Ko .
The authorized official title is Chief Financial Officer and has the following contact phone number (937) 558-3223.

The CLIA number assigned to this NPI record is 36D2127692 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 1/10/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10104042MEDICAIDOHIO

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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