Provider Demographics
NPI:1477161545
Name:OHIO URGENT CARE AND OCCUPATIONAL HEALTH LLC
Entity Type:Organization
Organization Name:OHIO URGENT CARE AND OCCUPATIONAL HEALTH LLC
Other - Org Name:OHIO PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FARHIYA
Authorized Official - Middle Name:MOHAMUD
Authorized Official - Last Name:SHIRWA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:614-260-5910
Mailing Address - Street 1:3539 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-2909
Mailing Address - Country:US
Mailing Address - Phone:614-826-7445
Mailing Address - Fax:614-826-7446
Practice Address - Street 1:3539 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-2909
Practice Address - Country:US
Practice Address - Phone:614-826-7446
Practice Address - Fax:614-826-7445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care