1ST CARE URGENT CARE DBA INTEGRATED MEDICAL SERVICES INC. NPI 1417286709

NPI Information

NPI: 1417286709
Provider Name: 1ST CARE URGENT CARE DBA INTEGRATED MEDICAL SERVICES, INC.

Doing Business As: INTEGRATED MEDICAL SERVICES, INC.

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 03D2024966

Address:
1300 S WATSON RD STE A-104
BUCKEYE, AZ
ZIP 85326
Phone: (623) 251-3201
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1ST CARE URGENT CARE DBA INTEGRATED MEDICAL SERVICES, INC. is an urgent care clinic center in Buckeye, AZ. 1ST CARE URGENT CARE DBA INTEGRATED MEDICAL SERVICES, INC. NPI is 1417286709. The provider is registered as an organization entity type.
The provider Is Doing Business As Integrated Medical Services, Inc..

The provider's business location address is:

1300 S WATSON RD STE A-104
BUCKEYE, AZ
ZIP 85326-303
Phone: (623) 251-3201
Fax: (623) 251-3205

The provider's authorized official is John A Dover .
The authorized official title is Owner and has the following contact phone number (602) 824-3370.

The CLIA number assigned to this NPI record is 03D2024966 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2009 and was last updated on 9/16/2019.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	326831	MEDICAID	ARIZONA

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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