EAST VALLEY URGENT CARE,LLC; NPI #1396097283

Contact Information

EAST VALLEY URGENT CARE,LLC

1120 S GILBERT RD
MESA, AZ 85204

Phone: 480-840-3075
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for EAST VALLEY URGENT CARE,LLC

NPI # 1396097283

LBN Legal business name EAST VALLEY URGENT CARE,LLC

Authorized official SANDRA GRONBERG - (SENIOR EXECUTIVE VP OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2012

Last updated 10/03/2012 - About 14 years ago

Identifiers

Other

83288

MEDICARE ID-TYPE UNSPECIFIED

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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