Provider Demographics
NPI:1417348855
Name:ACUTE URGENT CARE INC
Entity Type:Organization
Organization Name:ACUTE URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:HO-A-LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-868-4969
Mailing Address - Street 1:5542 AIRPORT HWY
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-7304
Mailing Address - Country:US
Mailing Address - Phone:419-868-4969
Mailing Address - Fax:419-868-4971
Practice Address - Street 1:3621 SECOR RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1512
Practice Address - Country:US
Practice Address - Phone:419-868-4969
Practice Address - Fax:419-868-4971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0681918Medicaid
OHFH402612Medicare PIN