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TRI-CITY EXPRESS CARE PLLC NPI 1962580118


NPI Information

NPI: 1962580118
Provider Name: TRI-CITY EXPRESS CARE, PLLC

Doing Business As: FASTMED URGENT CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D0983029

Address:
920 E WILLIAMS FIELD RD
SUITE 101
GILBERT, AZ
ZIP 85295
Phone: (480) 855-9400
Get Directions

TRI-CITY EXPRESS CARE, PLLC is a family medicine in Gilbert, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TRI-CITY EXPRESS CARE, PLLC NPI is 1962580118. The provider is registered as an organization entity type.
The provider Is Doing Business As Fastmed Urgent Care.

The provider's business location address is:

920 E WILLIAMS FIELD RD
SUITE 101
GILBERT, AZ
ZIP 85295-880
Phone: (480) 855-9400
Fax: (480) 782-1598

The provider's authorized official is Michael Patrick Dunn .
The authorized official title is Medical Director/owner and has the following contact phone number (480) 545-1413.

The CLIA number assigned to this NPI record is 03D0983029 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 5/21/2013.


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 CareOTC3513ARIZONANo
2207Q00000XFamily MedicineOTC3513ARIZONAYes

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
1870445MEDICAIDARIZONA
2Z110443MEDICARE PINARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.