Healthcare Provider Details
I. General information
NPI: 1295067940
Provider Name (Legal Business Name): WRH PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2010
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3913 DARROW RD SUITE 100
STOW OH
44224-2621
US
IV. Provider business mailing address
PO BOX 67070
CUYAHOGA FALLS OH
44222-7070
US
V. Phone/Fax
- Phone: 330-688-7900
- Fax: 330-688-1866
- Phone: 330-923-5899
- Fax: 330-923-8090
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:
ROBERT
A
KENT
JR.
Title or Position: PRESIDENT
Credential: D.O
Phone: 330-971-7000