PERALTA URGENT CARE NPI 1700247335

NPI Information

NPI: 1700247335
Provider Name: PERALTA URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 03D2116541

Address:
6740 S KINGS RANCH RD
SUITE 102
GOLD CANYON, AZ
ZIP 85118
Phone: (480) 616-2500
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PERALTA URGENT CARE is an urgent care clinic center in Gold Canyon, AZ. PERALTA URGENT CARE NPI is 1700247335. The provider is registered as an organization entity type.

The provider's business location address is:

6740 S KINGS RANCH RD
SUITE 102
GOLD CANYON, AZ
ZIP 85118-961
Phone: (480) 616-2500
Fax: (480) 845-1008

The provider's authorized official is Zelalem Yilma .
The authorized official title is Medical Director and has the following contact phone number (480) 616-2500.

The CLIA number assigned to this NPI record is 03D2116541 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2016 and was last updated on 8/8/2016.

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

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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