Healthcare Provider Details

I. General information

NPI: 1831787738
Provider Name (Legal Business Name): GREATER TOLEDO URGENT CARES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2021
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 LEWIS AVE
TEMPERANCE MI
48182-1209
US

IV. Provider business mailing address

PO BOX 638732
CINCINNATI OH
45263-8732
US

V. Phone/Fax

Practice location:
  • Phone: 419-517-0146
  • Fax: 419-517-0147
Mailing address:
  • Phone: 859-291-4800
  • Fax: 859-655-8588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WALID MAHMOUD
Title or Position: PRESIDENT
Credential: MD
Phone: 419-517-0146