Clinton Urgent Care Plc
Family Medicine in Clinton, IA. Organization (NPI-2).
NPI number1346356466
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1346356466
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinton Urgent Care Plc
- Organization subpart
- No
- Enumeration date
- Aug 22, 2006
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 163WI0500X | Registered Nurse, Infusion Therapy | – | – | |
| 202C00000X | Independent Medical Examiner | 31351 | IA | |
| 202C00000X | Independent Medical Examiner | – | – | |
| 207QA0401X | Family Medicine, Addiction Medicine | 31351 | IA | |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Practice location
108 S. 4th StClinton, IA 52732-4425
Phone 563-241-1239 · Fax 563-241-1243
Mailing address
108 S. 4th StClinton, IA 52732-4425
Phone 563-241-1239 · Fax 563-241-1243
Authorized official
Oduah Daniel Osaro
President
5632411239
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