Healthcare Provider Details
I. General information
NPI: 1710183520
Provider Name (Legal Business Name): NORTHWEST OHIO URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2007
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5911 BENORE RD
TOLEDO OH
43612-3956
US
IV. Provider business mailing address
1421 S REYNOLDS RD
TOLEDO OH
43615-7413
US
V. Phone/Fax
- Phone: 419-726-6500
- Fax: 419-726-3775
- Phone: 419-725-6290
- Fax: 419-725-6262
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 35067481 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARSHAD
A
HUSAIN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 419-725-6290