URGENT CARE EXTRA-SOUTHERN – NPI #1396097283
Clinic/Center
URGENT CARE EXTRA-SOUTHERN is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1396097283 to URGENT CARE EXTRA-SOUTHERN on October 03, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “URGENT CARE EXTRA-SOUTHERN” is a dba name, the actual legal business name for this organization is EAST VALLEY URGENT CARE,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
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-SOUTHERN below.
NPI Profile for
EAST VALLEY URGENT CARE,LLC
(more than 13 years ago)
MESA, AZ 85204 Phone: (480) 840-3075 Fax:
STE 121
GILBERT, AZ 85298 Phone: (480) 840-3075 Fax:
SENIOR EXECUTIVE VP OPERATIONS
Phone: (480) 840-3075
Identifiers for URGENT CARE EXTRA-SOUTHERN
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE ID-TYPE UNSPECIFIED | 83288 |
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.