FIRELANDS PHYSICIAN GROUP URGENT CARE – NPI #1992136279
Clinic/Center

FIRELANDS PHYSICIAN GROUP URGENT CARE is an AHC clinic located in CLYDE, OH. NPPES has assigned the NPI number 1992136279 to FIRELANDS PHYSICIAN GROUP URGENT CARE on December 11, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FIRELANDS PHYSICIAN GROUP URGENT CARE” is a dba name, the actual legal business name for this organization is NORTH COAST PROFESSIONAL COMPANY, LLC. 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

The NPI profile was previously updated about 12 years ago on Dec 20, 2013. 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 FIRELANDS PHYSICIAN GROUP URGENT CARE below.

NPI Profile for
NORTH COAST PROFESSIONAL COMPANY, LLC

NPI Number
1992136279
Enumeration Date

(more than 12 years 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
NORTH COAST PROFESSIONAL COMPANY, LLC
Doing Business As (dba): FIRELANDS PHYSICIAN GROUP URGENT CARE
Primary location
1470 WEST MCPHERSON HIGHWAY
CLYDE, OH 43410
Phone: (419) 557-5541 Fax: (419) 557-5542
Mailing address
1031 PIERCE ST
SUITE D
SANDUSKY, OH 44870-4669
Phone: (419) 557-5541 Fax: (419) 557-5542
Organization Subpart
No
Authorized Official
JANIS SHRIVER
VICE PRESIDENT
Phone: (419) 557-5540
Updated
Identifiers

Identifiers for FIRELANDS PHYSICIAN GROUP URGENT CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2021707
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.