Organization Active NPI

Hilliard Station Urgent Care LLC

  • Urgent Care Clinic/Center
  • Hilliard, OH
National Provider Identifier
1639312762
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HILLIARD STATION URGENT CARE LLC
Practice address
5263 Nike Station Way
Hilliard, OH 43026
Phone
(614) 876-2100
Fax
(614) 876-2120
NPI assigned
Apr 20, 2009
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Michael C Bourland
Title
Cfo
Phone
(614) 442-2431

Specialties & licenses 1

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

Addresses

Primary practice location

5263 Nike Station Way
Hilliard, OH 43026

Mailing address

2939 Kenny Rd Ste 200
Columbus, OH 43221-2406
Phone (614) 442-2431

Other identifiers 1

IdentifierTypeStateIssuer
2971673MedicaidOH

National Provider Directory

National Provider Directory

Locations

2939 Kenny Rd
Columbus, OH 43221

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1639312762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 KENNY RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212406",
            "telephone_number": "614-442-2431",
            "fax_number": "614-442-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 NIKE STATION WAY",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-876-2100",
            "fax_number": "614-876-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLIARD STATION URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-442-2431"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2971673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.