Healthcare Provider Details

I. General information

NPI: 1114957123
Provider Name (Legal Business Name): URGENT CARE SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6210 BRANDT PIKE STE 102
HUBER HEIGHTS OH
45424-4019
US

IV. Provider business mailing address

1430 OAK CT STE 100
BEAVERCREEK OH
45430-1064
US

V. Phone/Fax

Practice location:
  • Phone: 937-236-8635
  • Fax: 937-236-8630
Mailing address:
  • Phone: 937-236-8635
  • Fax: 937-236-8630

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: MANOJ KUMAR
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 937-603-1941