SAN LUIS WALK-IN CLINIC INC. NPI 1861780231

NPI Information

NPI: 1861780231
Provider Name: SAN LUIS WALK-IN CLINIC, INC.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 03D2130941

Address:
1896 E BABBIT LN
SAN LUIS, AZ
ZIP 85336
Phone: (928) 722-6112
Get Directions

SAN LUIS WALK-IN CLINIC, INC. is a rural health clinic center in San Luis, AZ. SAN LUIS WALK-IN CLINIC, INC. NPI is 1861780231. The provider is registered as an organization entity type.

The provider's business location address is:

1896 E BABBIT LN
SAN LUIS, AZ
ZIP 85336-820
Phone: (928) 722-6112
Fax: (928) 722-6113

The provider's authorized official is Amanda Aguirre .
The authorized official title is President & Ceo and has the following contact phone number (928) 315-7910.

The CLIA number assigned to this NPI record is 03D2130941 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2011 and was last updated on 9/7/2023.

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	261QR1300X	Clinic/Center	Rural Health			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	OTC3905	OTHER	ARIZONA	ADHS LICENSE

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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