| Organization Name: | UNIVERSITY PRIMARY CARE PRACTICES INC |
| NPI Number: | 1528295466 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE RIDDLE (DIRECTOR OF BILLING SERVICES) |
| Mailing Address: | 7500 Auburn Rd # 1200 Concord Twp |
| State: | OH US |
| Postal Code: | 440779176 |
| Phone Number: | 4403585400 |
| Fax Number: | 4403585401 |
| NPI Enumeration Date: | 06/18/2009 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |