Basic Information
| Provider Information | |||||||||
| NPI: | 1063549459 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ASAP MEDICAL CARE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 151 W MILLTOWN RD | ||||||||
| Address2: | |||||||||
| City: | WOOSTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446919012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303458032 | ||||||||
| FaxNumber: | 3303458072 | ||||||||
| Practice Location | |||||||||
| Address1: | 151 W MILLTOWN RD | ||||||||
| Address2: | |||||||||
| City: | WOOSTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446919012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303458032 | ||||||||
| FaxNumber: | 3303458072 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | TAYLOR | ||||||||
| AuthorizedOfficialFirstName: | SUNG | ||||||||
| AuthorizedOfficialMiddleName: | IL | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3303458032 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | 34007174T | OH | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.