MEDICARE: CAREFIRST URGENT CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1013527845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREFIRST URGENT CARE, LLC

Provider Business Mailing Address
First Line	:	7300 BEECHMONT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-4119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5216 BOULDER HWY STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-6075
Country	:	US
Telephone Number	:	513-846-6778
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHETAN GUPTA
Credential	:
Telephone Number	:	513-846-6778

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	11/20/2024

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Directions to “CAREFIRST URGENT CARE, LLC ” Practice Location

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