Provider Demographics
NPI:1891888962
Name:OBSCARE, LLC
Entity Type:Organization
Organization Name:OBSCARE, LLC
Other - Org Name:LIBERTY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:K
Authorized Official - Last Name:SNIVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-779-7716
Mailing Address - Street 1:7324 YANKEE ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LIBERTY TWP.
Mailing Address - State:OH
Mailing Address - Zip Code:45044-9096
Mailing Address - Country:US
Mailing Address - Phone:513-779-7716
Mailing Address - Fax:513-759-7163
Practice Address - Street 1:7324 YANKEE ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:LIBERTY TWP.
Practice Address - State:OH
Practice Address - Zip Code:45044-9096
Practice Address - Country:US
Practice Address - Phone:513-779-7716
Practice Address - Fax:513-759-7163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2507148Medicaid
OH6194480001Medicare NSC