Provider Demographics
NPI:1861642084
Name:PEOPLE'S URGENT CARE CLINIC PC
Entity Type:Organization
Organization Name:PEOPLE'S URGENT CARE CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:U
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-228-0522
Mailing Address - Street 1:PO BOX 117
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-0117
Mailing Address - Country:US
Mailing Address - Phone:419-228-0522
Mailing Address - Fax:419-228-0822
Practice Address - Street 1:3011 HARDING HWY
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-3509
Practice Address - Country:US
Practice Address - Phone:419-228-0522
Practice Address - Fax:419-228-0822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35061186261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0823694Medicaid
OHBA0702268Medicare PIN