Healthcare Provider Details
I. General information
NPI: 1518945948
Provider Name (Legal Business Name): P.R. CARE, LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2006
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4760 SAWMILL RD
COLUMBUS OH
43235-3260
US
IV. Provider business mailing address
PO BOX 665
NORTH OLMSTED OH
44070-0665
US
V. Phone/Fax
- Phone: 614-789-9464
- Fax: 614-789-9575
- Phone: 440-777-6017
- 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:
WILLIAM
S.
ROTHE
III
Title or Position: PRESIDENT
Credential: M.D.
Phone: 614-789-9464