Basic Information
| Provider Information | |||||||||
| NPI: | 1639653777 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOCTORS URGENT CARE OFFICE MEDICAL GROUP INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 935 STATE ROUTE 28 | ||||||||
| Address2: | |||||||||
| City: | MILFORD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451501957 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138315955 | ||||||||
| FaxNumber: | 5138315985 | ||||||||
| Practice Location | |||||||||
| Address1: | 9232 READING RD | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452153416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138315955 | ||||||||
| FaxNumber: | 5138315985 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2018 | ||||||||
| LastUpdateDate: | 09/24/2018 | ||||||||
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| AuthorizedOfficialLastName: | AMRHEIN | ||||||||
| AuthorizedOfficialFirstName: | PAUL | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5138315955 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | DOCTORS URGENT CARE OFFICE MEDICAL GROUP INC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.