National Provider Identifier Database

MOJAVE FAMILY URGENT CARE
Urgent Care


Contact Information

MOJAVE FAMILY URGENT CARE
5300 S HIGHWAY 95 STE A
FORT MOHAVE, AZ86426-9251
Phone: 928-768-7175
Fax: 928-768-7247
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for MOJAVE FAMILY URGENT CARE

NPI Number 1336474592
Legal business name
LBN
MOJAVE FAMILY URGENT CARE
Authorized official WILLIAM WOMACK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/06/2009
Last updated 10/06/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC4517

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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