Organization Active NPI

Camal LLC Dba St E's Urgent Care

  • Urgent Care Clinic/Center
  • Dayton, OH
National Provider Identifier
1467532507
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAMAL LLC DBA ST E'S URGENT CARE
Practice address
1 Elizabeth PL
Suite 100
Dayton, OH 45417-3445
Phone
(937) 229-9800
Fax
(937) 222-2544
NPI assigned
Oct 16, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Morris L Brown, M.D.
Title
Owner
Phone
(937) 229-9800

Specialties & licenses 1

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

Addresses

Primary practice location

1 Elizabeth PL
Suite 100
Dayton, OH 45417-3445

Mailing address

1 Elizabeth PL
Suite 100
Dayton, OH 45417-3445
Phone (937) 229-9800

Other identifiers 1

IdentifierTypeStateIssuer
2465986MedicaidOH

National Provider Directory

National Provider Directory

Locations

1 Elizabeth Pl
Ste 100
Dayton, OH 45417
Phone (937) 224-9389

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1467532507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-229-9800",
            "fax_number": "937-222-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-229-9800",
            "fax_number": "937-222-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMAL LLC DBA ST E'S URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-229-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2465986",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.