Organization
BEREA URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAWAR SODA (PARTNER)
(859) 985-0302
Entity
Organization
Contact information
Practice address
234 BRENWOOD ST, BEREA, KY 40403-1637
(859) 985-0302
(859) 985-0308
Mailing address
234 BRENWOOD ST, BEREA, KY 40403-1637
(859) 985-0302
(859) 985-0308
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D1046850
CLIA
KY
05
—
65944373
—
KY
Enumeration date
01/04/2007
Last updated
05/12/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us