Southwest Convenience Clinic Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

2371512 Issued in OH

Legal business name

SOUTHWEST CONVENIENCE CLINIC INC

Practice address

720 W Plane St
Unit 150
Bethel, OH 45106-8339

Phone

(513) 427-4057

Fax

(513) 427-4051

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Dawn Dunn, CNP

Title

Owner

Phone

(513) 310-8742

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433635200000",
    "number": "1710370309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W PLANE ST",
            "address_2": "UNIT 150",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "451068339",
            "telephone_number": "513-427-4057",
            "fax_number": "513-427-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W PLANE ST",
            "address_2": "UNIT 150",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "451068339",
            "telephone_number": "513-427-4057",
            "fax_number": "513-427-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CONVENIENCE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-06-07",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-310-8742",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "2371512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurang Shah, D.O.
• Sipple Clinic of Chiropractic
• Eileen M Sipple, D.C.
• Jerry O Sipple, D.C.
• Paulette No Middle Name Smith
• Southwest Healthcare of Brown County Ohio, LLC
• Southwest Healthcare of Brown County Ohio, LLC
• Tammy Sue Stacy, LPN
• Meg Stansbury, MA CCC-SLP
• Gladys E Steele

• Urgent Care Clinic/Center in Bethel, OH
• Providers in Bethel, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; 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.