MEDICARE: DAYSTAR URGENT CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1740068212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYSTAR URGENT CARE LLC

Provider Business Mailing Address
First Line	:	453 SMILEY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-2217
Country	:	US
Telephone Number	:	513-628-6285
Fax Number	:

Provider Business Practice Location Address
First Line	:	1102 W KEMPER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1764
Country	:	US
Telephone Number	:	513-429-3289
Fax Number	:	513-928-7689

Authorized Official
Title or Position	:	CHIEF NURSING OFFICER
Name	:	MABEL EFUA OKOH OKAI
Credential	:	NP
Telephone Number	:	513-628-6285

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	07/10/2024

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Directions to “DAYSTAR URGENT CARE LLC ” Practice Location

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