Organization
CLINTON URGENT CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODUAH DANIEL OSARO MD (PRESIDENT)
(563) 241-1239
Entity
Organization
Contact information
Practice address
108 S. 4TH ST, CLINTON, IA 52732-4425
(563) 241-1239
(563) 241-1243
Mailing address
108 S. 4TH ST, CLINTON, IA 52732-4425
(563) 241-1239
(563) 241-1243
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
202C00000X
Independent Medical Examiner Physician
31351
IA
202C00000X
Independent Medical Examiner Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
31351
IA
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0724542
—
IA
01
—
123860251
DUNS
IA
01
—
1346356466
NPI
IA
01
—
16D0969125
CLIA
IA
01
—
235597
CORP#
IA
Enumeration date
08/22/2006
Last updated
02/10/2020
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