EAST VALLEY VACCINATION AND EXAMINATION CENTER NPI 1063751204

NPI Information

NPI: 1063751204
Provider Name: EAST VALLEY VACCINATION AND EXAMINATION CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
110 S MESA DR
SUITE 2
MESA, AZ
ZIP 85210
Phone: (480) 833-0554
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EAST VALLEY VACCINATION AND EXAMINATION CENTER is a health service clinic center in Mesa, AZ. EAST VALLEY VACCINATION AND EXAMINATION CENTER NPI is 1063751204. The provider is registered as an organization entity type.

The provider's business location address is:

110 S MESA DR
SUITE 2
MESA, AZ
ZIP 85210
Phone: (480) 833-0554

The provider's authorized official is Richard T Kuhn .
The authorized official title is Administrator and has the following contact phone number (480) 833-0554.

The enumeration date for this NPI number is 2/7/2013 and was last updated on 2/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	AP4435	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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