Provider Demographics
NPI:1649693094
Name:910 RAPID CARE, LLC
Entity type:Organization
Organization Name:910 RAPID CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:G
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:330-965-0075
Mailing Address - Street 1:910 BOARDMAN CANFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4218
Mailing Address - Country:US
Mailing Address - Phone:330-965-0075
Mailing Address - Fax:330-965-3790
Practice Address - Street 1:910 BOARDMAN CANFIELD RD
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4218
Practice Address - Country:US
Practice Address - Phone:330-965-0075
Practice Address - Fax:330-965-3790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:2256123
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-21
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care