MEDICARE: HEALTH EXPRESS URGENT CARE CENTERS,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	207QA0401X	Addiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1841068566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH EXPRESS URGENT CARE CENTERS,LLC

Provider Business Mailing Address
First Line	:	1400 W PLEASANT VALLEY RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-6720
Country	:	US
Telephone Number	:	440-882-6595
Fax Number	:

Provider Business Practice Location Address
First Line	:	3762 PEARL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-2754
Country	:	US
Telephone Number	:	216-777-2155
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDALLAH ALI
Credential	:	MD
Telephone Number	:	440-882-6595

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	12/12/2023

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