# AHS OHIO PHYSICIAN GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Austintown Immediate Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407161797
- **Authorized official:** MR. STEPHEN PETROVICH (SENIOR VICE PRESIDENT AND SECRETARY)
- **Authorized official phone:** (615) 296-3000

## Contact information

- **Practice address:** 20 OHLTOWN RD, AUSTINTOWN, OH 44515-2331
- **Practice address phone:** (330) 884-1500
- **Mailing address:** 1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2010
- **Last updated:** 08/11/2010