Organization
V CLEW, LLC
Active
Other names
FIRST MEDICAL URGENT & FAMILY CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE ANDERSON (OPERATIONS MANAGER)
(740) 687-2273
Entity
Organization
Contact information
Practice address
1201 RIVER VALLEY BLVD, LANCASTER, OH 43130-1659
(740) 687-2273
(740) 687-9059
Mailing address
1201 RIVER VALLEY BLVD, LANCASTER, OH 43130-1659
(740) 687-2273
(740) 687-9059
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1472340
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-1472800
OHIO FACILITY PHARMACY LI
OH
01
—
10E0884201
ODH RADIATION LICENSE
OH
01
—
36D03280453
CLIA ID NUMBER
OH
01
—
980524
OBWC NUMBER
OH
01
—
VC9346191
MEDICARE
OH
Enumeration date
06/27/2006
Last updated
04/06/2016
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