AZTEC URGENT CARE LLC NPI 1063741163

NPI Information

  • NPI: 1063741163
  • Provider Name: AZTEC URGENT CARE, LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • :
  • CLIA Number: 32D2011233
  • Address: 604 S RIO GRANDE AVE
    AZTEC, NM
    ZIP 87410
  • Phone: (505) 334-2664

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NPI Details

AZTEC URGENT CARE, LLC is an urgent care clinic center in Aztec, NM. AZTEC URGENT CARE, LLC NPI is 1063741163. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

604 S RIO GRANDE AVE
AZTEC, NM
ZIP 87410-260
Phone: (505) 334-2664
Fax: (505) 334-7759

The provider's authorized official is Bryan Vincent .
The authorized official title is President and has the following contact phone number (970) 247-8382.

The CLIA number assigned to this NPI record is 32D2011233 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/18/2009 and was last updated on 5/9/2025.

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
1261QU0200XClinic/CenterUrgent CareYes

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
169824762MEDICAIDNEW MEXICO

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: 11/21/2025

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