National Provider Identifier Database

FOUNTAIN HILLS MEDICAL CLINIC PC
Urgent Care


Contact Information

FOUNTAIN HILLS MEDICAL CLINIC PC
16605 E PALISADES BLVD
FOUNTAIN HILLS, AZ85268-3716
Phone: 480-837-4300
Fax: 480-837-8302
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for FOUNTAIN HILLS MEDICAL CLINIC PC

NPI Number 1457603771
Legal business name
LBN
FOUNTAIN HILLS MEDICAL CLINIC PC
Authorized official DAVID GOTTFRIED - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/10/2012
Last updated 01/15/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 7914

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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