Provider Demographics
NPI:1194365932
Name:COMMUNITY URGENT CARE PLUS
Entity Type:Organization
Organization Name:COMMUNITY URGENT CARE PLUS
Other - Org Name:COMMUNITY URGENT CARE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAIMEE
Authorized Official - Middle Name:KENYATTA
Authorized Official - Last Name:COLVIN
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:513-704-4788
Mailing Address - Street 1:1018 TOWANDA TER
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-2222
Mailing Address - Country:US
Mailing Address - Phone:513-978-1075
Mailing Address - Fax:513-978-1335
Practice Address - Street 1:5082 GLENCROSSING WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3360
Practice Address - Country:US
Practice Address - Phone:513-226-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care