Provider Demographics
NPI:1447660816
Name:URGENT CARE CENTERS OF ARIZONA, LLC
Entity type:Organization
Organization Name:URGENT CARE CENTERS OF ARIZONA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP OF OUTPATIENT SERVICES, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:BURTNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-2153
Mailing Address - Street 1:2487 S GILBERT RD
Mailing Address - Street 2:STE 108
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-8899
Mailing Address - Country:US
Mailing Address - Phone:480-899-1341
Mailing Address - Fax:480-899-9377
Practice Address - Street 1:2487 S GILBERT RD
Practice Address - Street 2:STE 108
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-8899
Practice Address - Country:US
Practice Address - Phone:480-899-1341
Practice Address - Fax:480-899-9377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care