EAST VALLEY URGENT CARELLC NPI 1558612473

NPI Information

NPI: 1558612473
Provider Name: EAST VALLEY URGENT CARE,LLC

Doing Business As: URGENT CARE EXTRA-CACTUS

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

Specialization: Urgent Care

Address:
7611 W CACTUS RD
PEORIA, AZ
ZIP 85381
Phone: (480) 840-3075
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EAST VALLEY URGENT CARE,LLC is an urgent care clinic center in Peoria, AZ. EAST VALLEY URGENT CARE,LLC NPI is 1558612473. The provider is registered as an organization entity type.
The provider Is Doing Business As Urgent Care Extra-cactus.

The provider's business location address is:

7611 W CACTUS RD
PEORIA, AZ
ZIP 85381
Phone: (480) 840-3075

The provider's authorized official is Sandra Gronberg .
The authorized official title is Sr Executive Vp Operations and has the following contact phone number (480) 840-3075.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 10/2/2012.

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
1	261QU0200X	Clinic/Center	Urgent Care			Yes

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
1	83288	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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