Healthcare Provider Details

I. General information

NPI: 1346967361
Provider Name (Legal Business Name): CLECARE URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26622 LORAIN ROAD
NORTH OLMSTED OH
44070-3204
US

IV. Provider business mailing address

26622 LORAIN ROAD
NORTH OLMSTED OH
44070-3204
US

V. Phone/Fax

Practice location:
  • Phone: 440-991-1212
  • Fax: 404-305-0010
Mailing address:
  • Phone: 440-991-1212
  • Fax: 404-305-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. IBRAHIM HASAN
Title or Position: OWNER
Credential: MD
Phone: 440-789-4694