Provider Demographics
NPI:1790071355
Name:JCM MEDICAL COMPANY
Entity Type:Organization
Organization Name:JCM MEDICAL COMPANY
Other - Org Name:DOCTORS EXPRESS OAKLEY/HYDE PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:NUGENT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:513-479-8681
Mailing Address - Street 1:1603 GRAND CYPRESS BLVD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45068-9811
Mailing Address - Country:US
Mailing Address - Phone:513-559-9700
Mailing Address - Fax:513-559-0900
Practice Address - Street 1:3802 PAXTON AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-2399
Practice Address - Country:US
Practice Address - Phone:513-559-9700
Practice Address - Fax:513-559-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care