URGENT CARE EXTRA AZ – NPI #1386028421
Clinic/Center

URGENT CARE EXTRA AZ is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1386028421 to URGENT CARE EXTRA AZ on July 18, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “URGENT CARE EXTRA AZ” is a dba name, the actual legal business name for this organization is UCXTRA UMBRELLA, LLC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 11 years ago on Jul 20, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for URGENT CARE EXTRA AZ below.

NPI Profile for
UCXTRA UMBRELLA, LLC

NPI Number
1386028421
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UCXTRA UMBRELLA, LLC
Doing Business As (dba): URGENT CARE EXTRA AZ
Primary location
1250 S CLEARVIEW AVE
SUITE 100
MESA, AZ 85209
Phone: (480) 988-9108 Fax:
Mailing address
35945 N GARY RD
SAN TAN VALLEY, AZ 85143
Phone: Fax:
Organization Subpart
No
Authorized Official
AMY PANDURO
CHIEF ADMIN OFFICER
Phone: (480) 663-2432
Updated
Identifiers

Identifiers for URGENT CARE EXTRA AZ

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ412931
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.