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TRI-CITY EXPRESS CARE PLLC NPI 1194052514


NPI Information

NPI: 1194052514
Provider Name: TRI-CITY EXPRESS CARE, PLLC

Doing Business As: FASTMED URGENT CARE

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

Specialization: Urgent Care

Address:
2875 W RAY RD
SUITE 8
CHANDLER, AZ
ZIP 85224
Phone: (480) 899-3070
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TRI-CITY EXPRESS CARE, PLLC is an urgent care clinic center in Chandler, AZ. TRI-CITY EXPRESS CARE, PLLC NPI is 1194052514. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fastmed Urgent Care.

The provider's business location address is:

2875 W RAY RD
SUITE 8
CHANDLER, AZ
ZIP 85224-619
Phone: (480) 899-3070
Fax: (480) 824-1312

The provider's authorized official is Michael P. Dunn .
The authorized official title is Medical Director/owner and has the following contact phone number (480) 545-2787.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 6/18/2013.


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
1207Q00000XFamily MedicineOTC4718ARIZONANo
2261QU0200XClinic/CenterUrgent CareOTC4718ARIZONAYes

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
1Z110443MEDICARE PINARIZONA
2477121MEDICAIDARIZONA

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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