Urgent Care Extra-Southern

LBN: East Valley Urgent Care,Llc
Urgent Care Extra-Southern is an health care organization with primary practice located at 1120 S Gilbert Rd , Mesa AZ 85204. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. East Valley Urgent Care,Llc can be contacted via phone (480) 840-3075, or through Gronberg, Sandra via phone (480) 840-3075.

Contact Information

Primary practice address
1120 S Gilbert Rd Mesa AZ 85204
Phone: (480) 840-3075
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gronberg, Sandra Registered Nurse (RN)
Phone: (480) 840-3075

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1396097283
LBN Legal business name East Valley Urgent Care,Llc
DBA Doing business as Urgent Care Extra-Southern
Authorized official Gronberg, Sandra Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2012
Last updated Oct 3rd, 2012 - about 13 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 1396097283 NPPES
Other 83288 MEDICARE ID-TYPE UNSPECIFIED

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