URGENT CARE EXTRA-CACTUS – NPI #1558612473
Clinic/Center

URGENT CARE EXTRA-CACTUS is an AHC clinic located in PEORIA, AZ. NPPES has assigned the NPI number 1558612473 to URGENT CARE EXTRA-CACTUS on October 02, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “URGENT CARE EXTRA-CACTUS” 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-CACTUS below.

NPI Profile for
EAST VALLEY URGENT CARE,LLC

NPI Number
1558612473
Enumeration Date

(more than 13 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
EAST VALLEY URGENT CARE,LLC
Doing Business As (dba): URGENT CARE EXTRA-CACTUS
Primary location
7611 W CACTUS RD
PEORIA, AZ 85381
Phone: (480) 840-3075 Fax:
Mailing address
3336 E CHANDLER HEIGHTS RD STE 121
GILBERT, AZ 85298-4263
Phone: (480) 840-3075 Fax:
Organization Subpart
No
Authorized Official
SANDRA GRONBERG
SR EXECUTIVE VP OPERATIONS
Phone: (480) 840-3075
Updated
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.