Provider Demographics
NPI:1104483189
Name:HEALING HANDS URGENT CARE, LLC.
Entity type:Organization
Organization Name:HEALING HANDS URGENT CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA-C/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEWEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:SONGO
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICIAN ASSISTANT
Authorized Official - Phone:614-743-5513
Mailing Address - Street 1:848 SCIOTO ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-2255
Mailing Address - Country:US
Mailing Address - Phone:937-508-4013
Mailing Address - Fax:937-508-4030
Practice Address - Street 1:848 SCIOTO ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-2255
Practice Address - Country:US
Practice Address - Phone:614-743-5513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service