Healthcare Provider Details

I. General information

NPI: 1457911489
Provider Name (Legal Business Name): CHILDREN'S EMURGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 06/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 MALLARD CIR
PLAIN CITY OH
43064-6007
US

IV. Provider business mailing address

8390 MALLARD CIR
PLAIN CITY OH
43064-6007
US

V. Phone/Fax

Practice location:
  • Phone: 516-847-4274
  • Fax:
Mailing address:
  • Phone: 614-642-2287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. VIPUL K GARG
Title or Position: OWNER
Credential: MD
Phone: 614-642-2287