National Provider Identifier Database

HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE LLC
Urgent Care


Contact Information

HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE LLC
77 E FRY BLVD
SIERRA VISTA, AZ85635
Phone: 520-459-8915
Fax: 520-458-9424
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE LLC

NPI Number 1568658870
Legal business name
LBN
HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE LLC
Authorized official WARREN GLUCK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/20/2007
Last updated 03/10/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 278400

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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