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ALLIANCE PHYSICIANS INC NPI 1952714420


NPI Information

NPI: 1952714420
Provider Name: ALLIANCE PHYSICIANS INC

Doing Business As: KETTERING HEALTH URGENT CARE

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

Specialization: Urgent Care

CLIA Number: 36D0348868

Address:
50 N PROGRESS DR
XENIA, OH
ZIP 45385
Phone: (937) 352-2850
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ALLIANCE PHYSICIANS INC is an urgent care clinic center in Xenia, OH. ALLIANCE PHYSICIANS INC NPI is 1952714420. The provider is registered as an organization entity type.
The provider Is Doing Business As Kettering Health Urgent Care.

The provider's business location address is:

50 N PROGRESS DR
XENIA, OH
ZIP 45385-666
Phone: (937) 352-2850
Fax: (937) 352-2854

The provider's authorized official is Timothy Y Ko .
The authorized official title is Credentialing Specialist and has the following contact phone number (937) 558-3223.

The CLIA number assigned to this NPI record is 36D0348868 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 1/10/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261QU0200XClinic/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
10104058MEDICAIDOHIO

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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