Organization Active NPI

West Jefferson Urgent Care

  • Urgent Care Clinic/Center
  • West Jefferson, OH
National Provider Identifier
1679040372
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WEST JEFFERSON URGENT CARE
Practice address
95 E Main St
West Jefferson, OH 43162-1205
Phone
(614) 879-7100
Fax
(614) 879-7151
NPI assigned
Oct 31, 2018
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Madeleine Yoon
Title
Director
Phone
(937) 405-5611

Specialties & licenses 1

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

Addresses

Primary practice location

95 E Main St
West Jefferson, OH 43162-1205

Mailing address

40 N Lakeshore Dr
Springboro, OH 45066-8125
Phone (937) 405-5611

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.urgentcarewj.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1679040372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N LAKESHORE DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668125",
            "telephone_number": "937-405-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621205",
            "telephone_number": "614-879-7100",
            "fax_number": "614-879-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST JEFFERSON URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-405-5611"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.urgentcarewj.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "95 E Main St",
            "city": "West Jefferson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431621205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Jefferson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.