MESA URGENT CARE, LLC; NPI #1912140005

Contact Information

MESA URGENT CARE, LLC

1242 E. MCKELLIPS RD. #103
MESA, AZ 85203

Phone: 480-844-9188
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for MESA URGENT CARE, LLC

NPI # 1912140005

LBN Legal business name MESA URGENT CARE, LLC

Authorized official JEFFREY LEVISON - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/20/2009

Last updated 04/20/2009 - About 17 years ago

Identifiers

AZ	License #	TBD
AZ	Medicaid	128688
AZ	Other	1467405894	NPI

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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