Healthcare Provider Details

I. General information

NPI: 1295946549
Provider Name (Legal Business Name): COMMUNITY URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 S LIMESTONE ST
SPRINGFIELD OH
45505-4727
US

IV. Provider business mailing address

2555 CREEKWOOD CT
SPRINGFIELD OH
45504-4056
US

V. Phone/Fax

Practice location:
  • Phone: 937-398-0631
  • Fax: 937-398-0635
Mailing address:
  • Phone: 937-327-0552
  • Fax: 937-327-0556

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: JUDY A. COX
Title or Position: OFFICE MANAGER
Credential:
Phone: 937-327-0552