Organization Active NPI

Dominion Urgent Care Clinic LLC

  • Urgent Care Clinic/Center
  • Westerville, OH
National Provider Identifier
1023751773
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DOMINION URGENT CARE CLINIC LLC
Practice address
2515 W Schrock Rd
Westerville, OH 43081-8956
Phone
(614) 394-9646
NPI assigned
Apr 19, 2022
Last updated
Apr 19, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DOMINION HEALTH SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Samuel Opoku, BS
Title
Administrator
Phone
(614) 330-9150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2515 W Schrock Rd
Westerville, OH 43081-8956

Mailing address

2515 W Schrock Rd
Westerville, OH 43081-8956
Phone (614) 394-9646

National Provider Directory

National Provider Directory
Part of
Dominion Health Services Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1023751773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818956",
            "telephone_number": "614-394-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818956",
            "telephone_number": "614-394-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION URGENT CARE CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOMINION HEALTH SERVICES INC.",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "OPOKU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-330-9150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.