Blossom Centre Walk-in Clinic Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BLOSSOM CENTRE WALK-IN CLINIC INC

Practice address

114 Blossom Centre Blvd
Willard, OH 44890-9312

Phone

(419) 933-6403

NPI assigned

Mar 3, 2016

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Billy R Inmon

Title

President

Phone

(419) 681-2145

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1942660907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BLOSSOM CENTRE BLVD",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909312",
            "telephone_number": "419-933-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BLOSSOM CENTRE BLVD",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909312",
            "telephone_number": "419-933-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM CENTRE WALK-IN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "INMON",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-681-2145"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Christine Barnett
• Janelle Barnett
• Nicole Kristen Beck
• Patiance Beller
• Bio-Medical Applications of Ohio, Inc. (Fresenius Medical Care Willard)
• Christopher J Bohach, DPM
• Brittany Lee Bolden, CPHT
• Emily Sue Booker, DMD
• Bowerman Chiropractic, LLC
• Ricky Branham, RN, BA, MBA; COHC

• Urgent Care Clinic/Center in Willard, OH
• Providers in Willard, 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 Mar 3, 2016; 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.