ALTACARE LLC NPI 1154849610

NPI Information

NPI: 1154849610
Provider Name: ALTACARE, LLC

Doing Business As: FLAGSTAFF URGENT CARE

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

Specialization: Urgent Care

Address:
2700 S WOODLANDS VILLAGE BLVD STE 700
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 440-5406
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ALTACARE, LLC is an urgent care clinic center in Flagstaff, AZ. ALTACARE, LLC NPI is 1154849610. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Flagstaff Urgent Care.

The provider's business location address is:

2700 S WOODLANDS VILLAGE BLVD STE 700
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 440-5406
Fax: (928) 440-5407

The provider's authorized official is Thomas Ho .
The authorized official title is President and has the following contact phone number (928) 440-5406.

The CLIA number assigned to this NPI record is 03D2141624 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 6/26/2018.

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	207Q00000X	Family Medicine				No
2	261QU0200X	Clinic/Center	Urgent Care	OTC8849	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: 4/28/2024

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