URGENT CARE EXTRA-PECOS – NPI #1609127596
Clinic/Center

URGENT CARE EXTRA-PECOS is an AHC clinic located in GILBERT, AZ. NPPES has assigned the NPI number 1609127596 to URGENT CARE EXTRA-PECOS 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-PECOS” 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-PECOS below.

NPI Profile for
EAST VALLEY URGENT CARE,LLC

NPI Number
1609127596
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-PECOS
Primary location
3126 S HIGLEY RD STE 109
GILBERT, AZ 85297
Phone: (480) 436-8102 Fax:
Mailing address
3336 E CHANDLER HEIGHTS STE121
GILBERT, AZ 85298
Phone: (480) 840-3075 Fax:
Organization Subpart
No
Authorized Official
SANDRA GRONBERG
SENIOR EXECUTIVE VP OPERATIONS
Phone: (480) 840-3075
Updated
Identifiers

Identifiers for URGENT CARE EXTRA-PECOS

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
OTHERMEDICARE ID-TYPE UNSPECIFIED83288
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.