NPIMap

Organization Active NPI

Promedica Central Physicians LLC

  • Urgent Care Clinic/Center
  • Maumee, OH
National Provider Identifier
1285168450
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PROMEDICA CENTRAL PHYSICIANS LLC
Practice address
217 Golden Gate PLZ
Maumee, OH 43537-2881
Phone
(567) 585-0210
Fax
(419) 794-4604
NPI assigned
Apr 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lorraine McCune
Title
Credentialing Coordinator
Phone
(567) 585-1964

Specialties & licenses 1

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

Addresses

Primary practice location

217 Golden Gate PLZ
Maumee, OH 43537-2881

Mailing address

217 Golden Gate PLZ
Maumee, OH 43537-2881
Phone (567) 585-0210

National Provider Directory

National Provider Directory
Tax ID family
Promedica Central Physician LLC75 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

217 Golden Gate Plz
Maumee, OH 43537
Phone (567) 585-0210

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285168450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GOLDEN GATE PLZ",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372881",
            "telephone_number": "567-585-0210",
            "fax_number": "419-794-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GOLDEN GATE PLZ",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372881",
            "telephone_number": "567-585-0210",
            "fax_number": "419-794-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICA CENTRAL PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCUNE",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "567-585-1964"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.