CHURCH SQUARE URGENT CARE LLC – NPI #1780528000
Clinic/Center

CHURCH SQUARE URGENT CARE LLC is an AHC clinic located in CLEVELAND, OH. NPPES recently assigned the NPI number 1780528000 to CHURCH SQUARE URGENT CARE LLC on April 16, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHURCH SQUARE URGENT CARE LLC below.

NPI Profile for
CHURCH SQUARE URGENT CARE LLC

NPI Number
1780528000
Enumeration Date

(about 7 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHURCH SQUARE URGENT CARE LLC
Primary location
1956 E 79TH ST
CLEVELAND, OH 44103-4270
Phone: (216) 288-0557 Fax:
Mailing address
14529 PURITAS AVE
CLEVELAND, OH 44135-2813
Phone: (216) 288-0557 Fax:
Organization Subpart
No
Authorized Official
ABDELRAHMAN ABUKHALIL
OWNER
Phone: (216) 288-0557
Updated
Certification Date
Apr 16, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.