MEDICARE: AMERICAN CURRENT CARE OF OHIO PA CO

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	:	1992988190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CURRENT CARE OF OHIO PA CO

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR
Second Line	:	SUITE 1200 WEST
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	972-720-7772
Fax Number	:	214-775-4502

Provider Business Practice Location Address
First Line	:	4623 WESLEY AVENUE
Second Line	:	SUITE C
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2272
Country	:	US
Telephone Number	:	513-841-1122
Fax Number	:	513-366-4432

Authorized Official
Title or Position	:	SENIOR VP / CHIEF MEDICAL OFFICER
Name	:	DR. JOHN ANDERSON
Credential	:	DO
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	02/15/2016

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