Jesse Owens Urgent Care

LBN: Best Medical/Urgent Care Llc
Jesse Owens Urgent Care is an health care organization with primary practice located at 325 E Baseline Rd , Phoenix AZ 85042-6510. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Best Medical/Urgent Care Llc can be contacted via phone (602) 824-4200, or through Danis, Carlene E via phone (602) 824-4640.

Contact Information

Primary practice address
325 E Baseline Rd Phoenix AZ 85042-6510
Fax: (602) 824-4259
Website:
Authorized official contact:
Name: Danis, Carlene E Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29250 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2816 Arizona
Ambulatory Health Care Facilities / Urgent Care 261QU0200X OTC0106 Arizona

Profile Details

NPI number 1154474310
LBN Legal business name Best Medical/Urgent Care Llc
DBA Doing business as Jesse Owens Urgent Care
Authorized official Danis, Carlene E Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Feb 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154474310 NPPES
Arizona MEDICAID 584533
Arizona Other AZ0206250
Arizona MEDICAID 146317
Arizona MEDICAID 832205
Arizona Other AZ0852180
Arizona Other P0201170

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