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MEDICAL URGENT CARE LLC NPI 1942245675


NPI Information

NPI: 1942245675
Provider Name: MEDICAL URGENT CARE, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 36D1048572

Address:
3158 GLENMORE AVE
CINCINNATI, OH
ZIP 45211
Phone: (513) 661-0555
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MEDICAL URGENT CARE, LLC is an urgent care clinic center in Cincinnati, OH. MEDICAL URGENT CARE, LLC NPI is 1942245675. The provider is registered as an organization entity type.

The provider's business location address is:

3158 GLENMORE AVE
CINCINNATI, OH
ZIP 45211-449
Phone: (513) 661-0555
Fax: (513) 661-2860

The provider's authorized official is Bashar Brijawi .
The authorized official title is Medical Director/partner and has the following contact phone number (513) 661-0555.

The CLIA number assigned to this NPI record is 36D1048572 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 4/20/2008.


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 Care35081770OHIOYes

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
1=========002OTHEROHIOMEDICAL MUTUAL OF OHIO
2=========00OTHEROHIOWORKER COMPENSATION
3000000383589OTHEROHIOANTHEM
42607914MEDICAIDOHIO
59357781MEDICARE PINOHIO

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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