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SOUTHERN OHIO NP CARE LLC NPI 1073751673


NPI Information

NPI: 1073751673
Provider Name: SOUTHERN OHIO NP CARE, LLC

Doing Business As: URGENT CARE AND INTERNAL MEDICINE OF WEST JEFFERSON

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
95 MAIN ST
WEST JEFFERSON, OH
ZIP 43162
Phone: (614) 879-7100
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SOUTHERN OHIO NP CARE, LLC is an urgent care clinic center in West Jefferson, OH. SOUTHERN OHIO NP CARE, LLC NPI is 1073751673. The provider is registered as an organization entity type.
The provider Is Doing Business As Urgent Care And Internal Medicine Of West Jefferson.

The provider's business location address is:

95 MAIN ST
WEST JEFFERSON, OH
ZIP 43162-178
Phone: (614) 879-7100
Fax: (614) 879-7151

The provider's authorized official is Eric James Yoon .
The authorized official title is Owner/practitioner and has the following contact phone number (937) 790-0969.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 7/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11073751673OTHEROHIOANTHEM
29110306OTHEROHIOAETNA
3=========026OTHEROHIOCARESOURCE
42926454MEDICAIDOHIO
529654672700OTHEROHIOBUREAU OF WORMAN'S COMPENSATION
69381411MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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