Provider Demographics
NPI:1376426650
Name:HOLBROOK URGENT CARE, LLC
Entity type:Organization
Organization Name:HOLBROOK URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAESTAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-524-3913
Mailing Address - Street 1:500 E IOWA ST
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:AZ
Mailing Address - Zip Code:86025-2750
Mailing Address - Country:US
Mailing Address - Phone:928-524-3913
Mailing Address - Fax:928-433-5059
Practice Address - Street 1:500 E IOWA ST
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:AZ
Practice Address - Zip Code:86025-2750
Practice Address - Country:US
Practice Address - Phone:928-524-3913
Practice Address - Fax:928-433-5059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care