Healthcare Provider Details
I. General information
NPI: 1013169705
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: 04/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2884 EAST KEMPER ROAD
CINCINNATI OH
45241-1820
US
IV. Provider business mailing address
5080 SPECTRUM DRIVE SUITE 1200 WEST TOWER
ADDISON TX
75001-4648
US
V. Phone/Fax
- Phone: 513-771-2233
- Fax: 513-612-3572
- 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.
JOHN
ANDERSON
Title or Position: SENIOR VP / CHIEF MEDICAL OFFICER
Credential: MD
Phone: 972-364-8103