Healthcare Provider Details
I. General information
NPI: 1598917288
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF OHIO, P.A., CO.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2008
Last Update Date: 10/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1450 FIRESTONE PARKWAY
AKRON OH
44301-1655
US
IV. Provider business mailing address
5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER
ADDISON TX
75001-4648
US
V. Phone/Fax
- Phone: 330-724-3345
- Fax: 330-724-5299
- Phone: 800-232-3550
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TOM
FOGARTY
Title or Position: SENIOR VP / CHIEF MEDICAL OFFICER
Credential: MD
Phone: 972-364-8103