Healthcare Provider Details

I. General information

NPI: 1982993010
Provider Name (Legal Business Name): GREATER TOLEDO URGENT CARES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 N. HOLLAND-SYLVANIA ROAD SUITE 101
TOLEDO OH
43623-1046
US

IV. Provider business mailing address

4405 N. HOLLAND-SYLVANIA ROAD SUITE 101
TOLEDO OH
43623-1046
US

V. Phone/Fax

Practice location:
  • Phone: 419-508-1537
  • Fax: 419-517-0147
Mailing address:
  • Phone: 419-508-1537
  • Fax: 419-517-0147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number35081650
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WALID MAHMOUD
Title or Position: PRESIDENT
Credential: MD
Phone: 419-508-1537