APACHE JUNCTION URGENT CARE LLC; NPI #1053375659

Contact Information

APACHE JUNCTION URGENT CARE LLC

2080 W SOUTHERN AVE
STE. 1
APACHE JUNCTION, AZ 85220-7455

Phone: 480-776-1588
Fax: 480-985-0173
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for APACHE JUNCTION URGENT CARE LLC

NPI Number 1053375659

LBN Legal business name APACHE JUNCTION URGENT CARE LLC

Authorized official JOHN SHUFELDT - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/12/2006

Last updated 01/24/2008 - About 18 years ago

Identifiers

AZ	License #	OTC3083
AZ	Medicaid	706715
AZ	Other	CJ9159	RAILROAD MEDICARE

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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