Provider Demographics
NPI:1831654516
Name:FAMILY URGENT CARE LLC
Entity Type:Organization
Organization Name:FAMILY URGENT CARE LLC
Other - Org Name:FAMILY URGENT CARE/ FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAQVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-726-0025
Mailing Address - Street 1:879 N BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1704
Mailing Address - Country:US
Mailing Address - Phone:740-772-5050
Mailing Address - Fax:740-772-5051
Practice Address - Street 1:1860 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-9997
Practice Address - Country:US
Practice Address - Phone:937-592-0731
Practice Address - Fax:937-592-0727
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-06
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty