ABRAZO MEDICAL GROUP URGENT CARE LLC NPI 1174847016

NPI Information

  • NPI: 1174847016
  • Provider Name: ABRAZO MEDICAL GROUP URGENT CARE LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 03D1000564
  • Address: 6565 E GREENWAY PKWY
    SUITE 102
    SCOTTSDALE, AZ
    ZIP 85254
  • Phone: (615) 665-6000

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NPI Details

ABRAZO MEDICAL GROUP URGENT CARE LLC is an urgent care clinic center in Scottsdale, AZ. ABRAZO MEDICAL GROUP URGENT CARE LLC NPI is 1174847016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6565 E GREENWAY PKWY
SUITE 102
SCOTTSDALE, AZ
ZIP 85254-073
Phone: (615) 665-6000
Fax: (615) 665-6184

The provider's authorized official is Carol A Bailey .
The authorized official title is Vice President and has the following contact phone number (615) 665-6000.

The CLIA number assigned to this NPI record is 03D1000564 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/22/2010 and was last updated on 7/28/2016.

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
1207Q00000XFamily MedicineNo
2261QU0200XClinic/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
1Z140913MEDICARE PINARIZONA
2526251MEDICAIDARIZONA

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: 3/30/2025

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