National Provider Identifier Database

CASA GRANDE URGENT CARE LLC
Urgent Care


Contact Information

CASA GRANDE URGENT CARE LLC
1729 N TREKELL RD
CASA GRANDE, AZ85222-2215
Phone: 480-776-1588
Fax: 520-876-0801
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for CASA GRANDE URGENT CARE LLC

NPI Number 1265496863
Legal business name
LBN
CASA GRANDE URGENT CARE LLC
Authorized official JOHN SHUFELDT - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/12/2006
Last updated 01/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC3029
  • AZ Medicaid: 628141
  • AZ Other: CJ6934 RAILROAD MEDICARE

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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