Healthcare Provider Details

I. General information

NPI: 1508009440
Provider Name (Legal Business Name): RAYMORE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 04/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 BROADMOOR DR
RAYMORE MO
64083-9298
US

IV. Provider business mailing address

1177 W KANSAS ST
LIBERTY MO
64068-2281
US

V. Phone/Fax

Practice location:
  • Phone: 816-415-8855
  • Fax:
Mailing address:
  • Phone: 816-415-8855
  • Fax: 816-415-8826

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: DR. DAVID J OCHS
Title or Position: PRESIDENT
Credential: DO
Phone: 816-415-8855