Active NPI
Rocky River Urgent Care, Inc.
- Urgent Care Clinic/Center
- Rocky River, OH
National Provider Identifier
1023110228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ROCKY RIVER URGENT CARE, INC.
- Practice address
- 19895 Detroit Rd
Rocky River, OH 44116-1815 - Phone
- (440) 356-5500
- Fax
- (440) 356-0660
- NPI assigned
- Sep 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher K Smith
- Title
- Practice Administrator
- Phone
- (440) 356-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
19895 Detroit Rd
Rocky River, OH 44116-1815
Mailing address
20455 Lorain Rd
Suite 104
Fairview Park, OH 44126-3494
Phone (440) 356-9844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2183042 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329350400000",
"number": "1023110228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20455 LORAIN RD",
"address_2": "SUITE 104",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441263494",
"telephone_number": "440-356-9844",
"fax_number": "440-356-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19895 DETROIT RD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441161815",
"telephone_number": "440-356-5500",
"fax_number": "440-356-0660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY RIVER URGENT CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2012-02-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "440-356-5500"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2183042",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.