CASA GRANDE URGENT CARE LLC; NPI #1265496863

Contact Information

CASA GRANDE URGENT CARE LLC

1729 N TREKELL RD
CASA GRANDE, AZ 85222-2215

Phone: 480-776-1588
Fax: 520-876-0801
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for CASA GRANDE URGENT CARE LLC

NPI Number 1265496863

LBN Legal business name CASA GRANDE 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 #	OTC3029
AZ	Medicaid	628141
AZ	Other	CJ6934	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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