Organization Active NPI

Bedford Community Emergency Center

  • Urgent Care Clinic/Center
  • Bedford, OH
National Provider Identifier
1124381975
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
3508974 Issued in OH
Legal business name
BEDFORD COMMUNITY EMERGENCY CENTER
Practice address
22750 Rockside Rd
Bedford, OH 44146-1574
Phone
(419) 944-6852
Fax
(440) 735-2800
NPI assigned
Jun 18, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. John Kamau, MD
Title
Owner
Phone
(419) 944-6852

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 3508974 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

22750 Rockside Rd
Bedford, OH 44146-1574

Mailing address

22750 Rockside Rd
Bedford, OH 44146-1574
Phone (419) 944-6852

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2783680MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2012.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1124381975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22750 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441461574",
            "telephone_number": "419-944-6852",
            "fax_number": "440-735-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22750 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441461574",
            "telephone_number": "419-944-6852",
            "fax_number": "440-735-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD COMMUNITY EMERGENCY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-944-6852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "3508974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2783680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.