Provider Demographics
NPI:1811176084
Name:MIDWEST URGENT CARE CLINICS, LLC
Entity type:Organization
Organization Name:MIDWEST URGENT CARE CLINICS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:OCHS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:816-415-8877
Mailing Address - Street 1:PO BOX 597
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64069-0597
Mailing Address - Country:US
Mailing Address - Phone:816-415-8877
Mailing Address - Fax:816-415-8826
Practice Address - Street 1:1301 S BELT HWY
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-2228
Practice Address - Country:US
Practice Address - Phone:816-415-8877
Practice Address - Fax:816-415-8826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO109012261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care