Provider Demographics
NPI:1316129323
Name:STATCLINIX PLC
Entity type:Organization
Organization Name:STATCLINIX PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RN
Authorized Official - Phone:480-374-7303
Mailing Address - Street 1:9382 E BAHIA DR
Mailing Address - Street 2:SUITE B103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1579
Mailing Address - Country:US
Mailing Address - Phone:480-682-4118
Mailing Address - Fax:480-374-7301
Practice Address - Street 1:101 E. HIGHWAY 260
Practice Address - Street 2:SUITE G
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541
Practice Address - Country:US
Practice Address - Phone:480-682-4118
Practice Address - Fax:480-374-7301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care