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HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC NPI 1467069047


NPI Information

NPI: 1467069047
Provider Name: HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC

Doing Business As: HONORHEALTH FASTMED URGENT CARE

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

Specialization: Urgent Care

CLIA Number: 03D2099007

Address:
16840 W WADDELL RD STE 110
SURPRISE, AZ
ZIP 85388
Phone: (623) 300-1470
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HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC is an urgent care clinic center in Surprise, AZ. HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC NPI is 1467069047. The provider is registered as an organization entity type.
The provider Is Doing Business As Honorhealth Fastmed Urgent Care.

The provider's business location address is:

16840 W WADDELL RD STE 110
SURPRISE, AZ
ZIP 85388-617
Phone: (623) 300-1470

The provider's authorized official is John Neil .
The authorized official title is Evp/cpe and has the following contact phone number (480) 587-5123.

The CLIA number assigned to this NPI record is 03D2099007 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2020 and was last updated on 3/9/2021.


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 CareYes

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.