MEDICARE: OHIO URGENT CARE AND OCCUPATIONAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QP2300X	Primary Care Clinic/Center
2	261QU0200X	Urgent Care Clinic/Center
3	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1477161545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO URGENT CARE AND OCCUPATIONAL HEALTH LLC

Provider Business Mailing Address
First Line	:	3539 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2909
Country	:	US
Telephone Number	:	614-826-7445
Fax Number	:	614-826-7446

Provider Business Practice Location Address
First Line	:	3539 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2909
Country	:	US
Telephone Number	:	614-826-7446
Fax Number	:	614-826-7445

Authorized Official
Title or Position	:	NURSE PRACTITIONER / OWNER
Name	:	MRS. FARHIYA MOHAMUD SHIRWA
Credential	:	FNP-C
Telephone Number	:	614-260-5910

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	12/22/2023

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