Provider Demographics
NPI:1316370216
Name:URGENT CARE OF WEST JEFFERSON
Entity Type:Organization
Organization Name:URGENT CARE OF WEST JEFFERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:614-879-7100
Mailing Address - Street 1:95 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:43162-1205
Mailing Address - Country:US
Mailing Address - Phone:614-879-7100
Mailing Address - Fax:614-879-7151
Practice Address - Street 1:95 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:43162-1205
Practice Address - Country:US
Practice Address - Phone:614-879-7100
Practice Address - Fax:614-879-7151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care