MY URBAN CLINIC, INC (NPI# 1932397510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932397510 |
| Entity Type | Organization |
| Organization Name | MY URBAN CLINIC, INC |
| Other Organization Name | MY CLINIC |
| Practice Address |
817 E Mccord Centralia IL 62801 |
| Mailing Address |
Po Box 421472 Houston TX 77242-1472 |
| Practice Telephone | 6185331100 |
| Practice Fax Number | 6185331110 |
| Mailing Telephone | 7132788710 |
| Mailing Fax Number | 7132781910 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. TONEY E MEANS (PRESIDENT) |
| Authorized Official Telephone | 7132788710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| My Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225217276 | My Urban Clinic, Inc | Clinic/Center | 1020 East Stale St, Sharon, PA 16146 | 2007-10-26 |
| 1932397411 | My Urban Clinic, Inc | Clinic/Center | 8200 Sr 366, Russell Point, OH 43348 | 2007-10-09 |
| 1134317837 | My Urban Clinic, Inc | Clinic/Center | 1971 Central Ave, Middletown, OH 45044-4401 | 2007-10-09 |
| 1396927596 | My Urban Clinic, Inc | Clinic/Center | 205 N Main St, Centerville, OH 45459-4617 | 2007-11-29 |
| 1205018405 | My Urban Clinic, Inc | Clinic/Center | 821 Scioto St, Urbana, OH 43078-2223 | 2007-11-29 |
| 1528256229 | My Urban Clinic, Inc | Clinic/Center | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2007-10-09 |
| 1437347135 | My Urban Clinic, Inc | Clinic/Center | 325 W Main St, Greensburg, IN 47240-1650 | 2007-10-09 |
| 1144418849 | My Urban Clinic, Inc | Clinic/Center | 2148 E Main St, Springfield, OH 45503-4956 | 2007-10-09 |
| 1053509752 | My Urban Clinic, Inc | Clinic/Center | 306 Beall Ave, Wooster, OH 44691-3520 | 2007-10-09 |
| 1952599656 | My Urban Clinic, Inc | Clinic/Center | 142 Indian Springs Dr, Sandwich, IL 60548-1902 | 2007-10-09 |
| Street Address |
817 E MCCORD |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225049729 | Morton-wuebbels Pharmacy Inc | Pharmacy | 817 E Mccord, Centralia, IL 62801 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124117197 | Providence Health & Service Washington | Clinic/Center | 1010 South Scheuber Rd, Suites 3 & 4, Centralia, WA 98531-8892 | 2006-10-11 |
| 1598254617 | Absolute Health International Inc | Clinic/Center | 2020 Borst Ave, Centralia, WA 98531-1404 | 2018-05-03 |
| 1790037224 | Star Medical Clinic Inc. | Clinic/Center | 1217 Mellen St, Centralia, WA 98531-1175 | 2012-10-08 |
| 1699045740 | Dr Shrestha Md Sc | Clinic/Center | 1050 M L King Dr, Suite 111, Centralia, IL 62801-3060 | 2012-01-06 |
| 1689873937 | Providence Health & Services Washington | Clinic/Center | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2007-07-17 |
| 1265495824 | Ambulatory Surgery Center of Centralia, LLC | Clinic/Center | 1045 Martin Luther King Dr, Centralia, IL 62801-3001 | 2006-04-06 |
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|---|---|---|---|---|
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| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.