North Coast Professional Company, LLC
Organization Active NPI Urgent Care Clinic/Center · Clyde, OH
NPI 1992136279 · NPPES record last updated Dec 20, 2013
Key facts
- NPI
- 1992136279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- NORTH COAST PROFESSIONAL COMPANY, LLC
- Practice address
- 1470 West McPherson Highway
Clyde, OH 43410 - Phone
- (419) 557-5541
- Fax
- (419) 557-5542
- NPI assigned
- Dec 11, 2013
- Organization subpart
- No
Authorized official
- Name
- Janis A Shriver, HCMBA, CPA
- Title
- Vice President
- Phone
- (419) 557-5540
Corporate family (same tax ID) 3
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2072137 | Firelands Physicians Group - Urgent | Certificate of waiver | Jan 26, 2028 |
National Provider Directory
- Tax ID family
- Firelands Physician Group Urgent Care
Locations
1470 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1470 West McPherson Highway
Clyde, OH 43410
Mailing address
1031 Pierce St
Suite D
Sandusky, OH 44870-4669
Phone (419) 557-5541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021707 | Medicaid | OH |
Other names
- Firelands Physician Group Urgent Care
Other providers in Clyde, OH
- Kelly Jo Morgan
- Marc Anthony Naderer
- Kimberly Navratil
- North Central Family Physicians Inc
- North Coast Cancer Care, Inc
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists,LLC
- Northwest Primary Care, Inc
- Jill Palomo
All providers in Clyde, OH · Urgent Care Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.