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Contact Information

SAN LUIS WALK-IN CLINIC, INC.
601 W RIVERSIDE DR STE 4
PARKER, AZ85344-5119
 Phone: 928-256-4110
 Fax: 928-256-4112
 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

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

NPI Number 1841838034
LBN Legal business name SAN LUIS WALK-IN CLINIC, INC.
Authorized official AMANDA AGUIRRE - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/18/2019
Last updated 09/07/2023 - About 3 years ago
Identifiers
AZ Medicaid 004800
AZ Other OTC10136 ADHS LICENSE
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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