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INCARE HEALTH SOLUTIONS LLC NPI 1639621824


NPI Information

NPI: 1639621824
Provider Name: INCARE HEALTH SOLUTIONS, LLC

Doing Business As: WALK IN CLINIC

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D1106947

Address:
375 N LEXINGTON SPRINGMILL RD
ONTARIO, OH
ZIP 44906
Phone: (419) 528-0047
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INCARE HEALTH SOLUTIONS, LLC is a primary care nurse practitioner in Ontario, OH. INCARE HEALTH SOLUTIONS, LLC NPI is 1639621824. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Walk In Clinic.

The provider's business location address is:

375 N LEXINGTON SPRINGMILL RD
ONTARIO, OH
ZIP 44906-812
Phone: (419) 528-0047
Fax: (419) 528-0094

The provider's authorized official is Qaisar Abbas .
The authorized official title is Credentialing & Hr Manager and has the following contact phone number (740) 914-4178.

The CLIA number assigned to this NPI record is 36D1106947 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 1/9/2020.


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
1363A00000XPhysician AssistantNo
2363LF0000XNurse PractitionerFamilyNo
3363LP2300XNurse PractitionerPrimary 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
10281700MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.