National Provider Identifier Database

SAN LUIS WALK IN CLINIC INC
Rural Health


Contact Information

SAN LUIS WALK-IN CLINIC, INC.
214 W MAIN ST
SOMERTON, AZ85350-6329
Phone: 928-627-1120
Fax: 928-722-6113
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Multi-Specialty 261QM1300X

* Indicates primary specialty

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

NPI Number 1972891349
Legal business name
LBN
SAN LUIS WALK-IN CLINIC, INC.
Authorized official AMANDA AGUIRRE - (PRESIDENT & CEO)
Entity Organization
Organization subpart Yes
Enumeration date 07/19/2011
Last updated 09/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 943699
  • AZ Other: OTC3969 ADHS LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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