Active NPI
Clinton Urgent Care PLC
- Family Medicine Physician
- Clinton, IA
National Provider Identifier
1346356466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CLINTON URGENT CARE PLC
- Practice address
- 108 S. 4TH St
Clinton, IA 52732-4425 - Phone
- (563) 241-1239
- Fax
- (563) 241-1243
- NPI assigned
- Aug 22, 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
- Oduah Daniel Osaro, MD
- Title
- President
- Phone
- (563) 241-1239
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Independent Medical Examiner Physician | 202C00000X | 31351 | IA | |
| Independent Medical Examiner Physician | 202C00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 31351 | IA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
108 S. 4TH St
Clinton, IA 52732-4425
Mailing address
108 S. 4TH St
Clinton, IA 52732-4425
Phone (563) 241-1239
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346356466 | Other | IA | NPI |
| 0724542 | Medicaid | IA | |
| 16D0969125 | Other | IA | CLIA |
| 123860251 | Other | IA | DUNS |
| 235597 | Other | IA | CORP# |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0969125 | Clinton Urgent Care Inc | Certificate of waiver | Apr 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
108 S 4th St
Clinton, IA 52732
Phone (563) 241-1239
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1346356466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S. 4TH ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324425",
"telephone_number": "563-241-1239",
"fax_number": "563-241-1243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 S. 4TH ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324425",
"telephone_number": "563-241-1239",
"fax_number": "563-241-1243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINTON URGENT CARE PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "OSARO",
"authorized_official_first_name": "ODUAH",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "563-241-1239",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "202C00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Independent Medical Examiner",
"state": "IA",
"license": "31351",
"primary": false
},
{
"code": "202C00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Independent Medical Examiner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "IA",
"license": "31351",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346356466",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0724542",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "16D0969125",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUNS",
"identifier": "123860251",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP#",
"identifier": "235597",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.