Provider Demographics
NPI:1740068212
Name:DAYSTAR URGENT CARE LLC
Entity type:Organization
Organization Name:DAYSTAR URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:EFUA
Authorized Official - Last Name:OKOH OKAI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:513-628-6285
Mailing Address - Street 1:453 SMILEY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2217
Mailing Address - Country:US
Mailing Address - Phone:513-628-6285
Mailing Address - Fax:
Practice Address - Street 1:1102 W KEMPER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1764
Practice Address - Country:US
Practice Address - Phone:513-429-3289
Practice Address - Fax:513-928-7689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care