MEDICARE: URGENCY INTEGRATED CARE SOLUTIONS INC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1376960948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENCY INTEGRATED CARE SOLUTIONS INC

Provider Business Mailing Address
First Line	:	881 W NORTH BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1340
Country	:	US
Telephone Number	:	513-242-4400
Fax Number	:	513-242-0748

Provider Business Practice Location Address
First Line	:	881 W NORTH BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1340
Country	:	US
Telephone Number	:	513-242-4400
Fax Number	:	513-242-0748

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN JOHNSON
Credential	:
Telephone Number	:	513-242-4400

Provider Enumeration Date	:	03/21/2014
Last Update Date	:	03/21/2014

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