Organization Name: | Q2 HEALTH CLINICS, LLC |
NPI Number: | 1063698165 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE A IRWIN (CEO) |
Mailing Address: | 33730 Via San Angelo Dr Avon |
State: | OH US |
Postal Code: | 440113756 |
Phone Number: | 4409346135 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2008 |
NPI Last Update Date: | 05/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |