SAN LUIS WALK-IN CLINIC, INC.; NPI #1003991506

Contact Information

SAN LUIS WALK-IN CLINIC, INC.

950 E MAIN ST BLDG B
SOMERTON, AZ 85350-7409

Phone: 928-236-8001
Fax: 928-722-6113
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for SAN LUIS WALK-IN CLINIC, INC.

NPI Number 1003991506

LBN Legal business name SAN LUIS WALK-IN CLINIC, INC.

Authorized official AMANDA AGUIRRE - (PRESIDENT & CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/25/2006

Last updated 09/07/2023 - About 3 years ago

Identifiers

Medicaid

836512

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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