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NOVA CARE MULTICLINIC LLC NPI 1174211007


NPI Information

NPI: 1174211007
Provider Name: NOVA CARE MULTICLINIC LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1717 W NORTHERN AVE STE 200
PHOENIX, AZ
ZIP 85021
Phone: (623) 703-9840
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NOVA CARE MULTICLINIC LLC is an urgent care clinic center in Phoenix, AZ. NOVA CARE MULTICLINIC LLC NPI is 1174211007. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1717 W NORTHERN AVE STE 200
PHOENIX, AZ
ZIP 85021-478
Phone: (623) 703-9840

The provider's authorized official is Viashen Moodley .
The authorized official title is Administrator and has the following contact phone number (623) 703-9840.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 4/27/2023.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4106S00000XBehavior TechnicianNo
5171M00000XCase Manager/Care CoordinatorNo
6174400000XSpecialistNo
7207R00000XInternal MedicineNo
8208D00000XGeneral PracticeNo
9405300000XPrevention ProfessionalNo
10202D00000XIntegrative MedicineNo
11207Q00000XFamily MedicineNo
12207QA0000XFamily MedicineAdolescent MedicineNo
13207QA0401XFamily MedicineAddiction MedicineNo
14207QA0505XFamily MedicineAdult MedicineNo
15261QU0200XClinic/CenterUrgent CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.