Provider Demographics
NPI:1316099526
Name:VERDE VALLEY URGENT CARE AND OCCUPATIONAL MEDICINE, PLC
Entity type:Organization
Organization Name:VERDE VALLEY URGENT CARE AND OCCUPATIONAL MEDICINE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:BINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-299-2628
Mailing Address - Street 1:411 S 14TH ST STE 101
Mailing Address - Street 2:PO BOX 1860
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-3478
Mailing Address - Country:US
Mailing Address - Phone:928-634-2574
Mailing Address - Fax:928-634-2841
Practice Address - Street 1:411 S 14TH ST STE 101
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-3478
Practice Address - Country:US
Practice Address - Phone:928-634-2574
Practice Address - Fax:928-634-2841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care