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TWIN PEAKS MEDICAL ASSOCIATES PLLC NPI 1558387845


NPI Information

NPI: 1558387845
Provider Name: TWIN PEAKS MEDICAL ASSOCIATES PLLC

Doing Business As: FASTRAX URGENT CARE CENTER

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

Specialization: Urgent Care

Address:
2002 N STOCKTON HILL RD
SUITE 103
KINGMAN, AZ
ZIP 86401
Phone: (928) 753-3303
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TWIN PEAKS MEDICAL ASSOCIATES PLLC is an urgent care clinic center in Kingman, AZ. TWIN PEAKS MEDICAL ASSOCIATES PLLC NPI is 1558387845. The provider is registered as an organization entity type.
The provider Is Doing Business As Fastrax Urgent Care Center.

The provider's business location address is:

2002 N STOCKTON HILL RD
SUITE 103
KINGMAN, AZ
ZIP 86401-698
Phone: (928) 753-3303
Fax: (928) 753-3603

The provider's authorized official is Donovan Schmidt .
The authorized official title is Managing Physician Partner and has the following contact phone number (928) 753-3303.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/8/2008.


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 CareOTC3597ARIZONAYes

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
1Z78500MEDICARE PINARIZONA
2850166MEDICAIDARIZONA

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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