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SAN LUIS WALK-IN CLINIC INC. NPI 1144680455


NPI Information

NPI: 1144680455
Provider Name: SAN LUIS WALK-IN CLINIC, INC.

Doing Business As: SAN LUIS URGENT CARE

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

Specialization: Urgent Care

CLIA Number: 03D2113095

Address:
1233 N MAIN ST STE 1A
SAN LUIS, AZ
ZIP 85336
Phone: (928) 550-5514
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SAN LUIS WALK-IN CLINIC, INC. is an urgent care clinic center in San Luis, AZ. SAN LUIS WALK-IN CLINIC, INC. NPI is 1144680455. The provider is registered as an organization entity type.
The provider Is Doing Business As San Luis Urgent Care.

The provider's business location address is:

1233 N MAIN ST STE 1A
SAN LUIS, AZ
ZIP 85336-663
Phone: (928) 550-5514
Fax: (928) 550-5160

The provider's authorized official is Amanda Aguirre .
The authorized official title is President & Ceo and has the following contact phone number (928) 315-7910.

The CLIA number assigned to this NPI record is 03D2113095 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/29/2016 and was last updated on 5/1/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareOTC7730ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1439088MEDICAIDARIZONA
2OTC7730OTHERARIZONAADHS LICENSE

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: 11/14/2023

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.