NPIMap

Organization Active NPI

Wilson Urgent Care

  • Urgent Care Clinic/Center
  • Sidney, OH
National Provider Identifier
1568754653
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WILSON URGENT CARE
Practice address
915 Michigan St
Sidney, OH 45365-2401
Phone
(937) 498-5513
NPI assigned
May 6, 2011
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WILSON CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Mr. Gary Giffen
Title
Executive Director
Phone
(937) 498-5319

Specialties & licenses 1

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

Addresses

Primary practice location

915 Michigan St
Sidney, OH 45365-2401

Mailing address

915 Michigan St
Sidney, OH 45365-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031201000170 OH Part B Supplier - Clinic/Group Practice 4385549666 Receives reassigned benefits from 67 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Troy, OH; Sidney, OH; Piqua, OH; Minster, OH; Jackson Center, OH; Botkins, OH; Anna, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Wilson Care Inc

Locations

823 Michigan St
Sidney, OH 45365
Phone (937) 498-5334

915 Michigan St
Ste 100
Sidney, OH 45365
Phone (937) 419-8049

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.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1568754653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-498-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILSON CARE, LLC",
        "enumeration_date": "2011-05-06",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "GIFFEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-498-5319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.