Provider Demographics
NPI:1952284689
Name:SURPRISE URGENT CARE
Entity type:Organization
Organization Name:SURPRISE URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:574-780-1473
Mailing Address - Street 1:18140 W NORTH CT
Mailing Address - Street 2:
Mailing Address - City:WADDELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85355-4255
Mailing Address - Country:US
Mailing Address - Phone:574-780-1473
Mailing Address - Fax:
Practice Address - Street 1:12133 W BELL RD STE 101
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-9407
Practice Address - Country:US
Practice Address - Phone:623-244-8797
Practice Address - Fax:520-423-3929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care