HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC NPI 1770190399

NPI Information

NPI: 1770190399
Provider Name: HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 03D2041883

Address:
1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ
ZIP 85395
Phone: (623) 215-0040
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HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC is an urgent care clinic center in Goodyear, AZ. HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC NPI is 1770190399. The provider is registered as an organization entity type.

The provider's business location address is:

1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ
ZIP 85395-201
Phone: (623) 215-0040

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 03D2041883 - physician office with a certificate type of Certificate of Waiver.

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

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: 4/28/2024

NPI Synchronization or Removal

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