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MED 97 LLC NPI 1487631883


NPI Information

NPI: 1487631883
Provider Name: MED 97 LLC

Doing Business As: ADVANCED URGENT CARE

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

Specialization: Urgent Care

Address:
8260 W INDIAN SCHOOL RD
STE 1 & 2
PHOENIX, AZ
ZIP 85033
Phone: (623) 846-7122
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MED 97 LLC is an urgent care clinic center in Phoenix, AZ. MED 97 LLC NPI is 1487631883. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Urgent Care.

The provider's business location address is:

8260 W INDIAN SCHOOL RD
STE 1 & 2
PHOENIX, AZ
ZIP 85033
Phone: (623) 846-7122
Fax: (623) 846-7027

The provider's authorized official is Renee L Biskupski .
The authorized official title is Vp Of Operations and has the following contact phone number (602) 433-1822.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 3/19/2008.


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 CareOTC2677ARIZONAYes

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
1630667MEDICAIDARIZONA
2Z63351MEDICARE PINARIZONA

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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