Provider Demographics
NPI:1326867904
Name:URGENTCARE OF COOLIDGE PLLC
Entity type:Organization
Organization Name:URGENTCARE OF COOLIDGE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHETAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:602-332-2878
Mailing Address - Street 1:171 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:COOLIDGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85128-4405
Mailing Address - Country:US
Mailing Address - Phone:520-660-6765
Mailing Address - Fax:520-280-0640
Practice Address - Street 1:153 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85128-4405
Practice Address - Country:US
Practice Address - Phone:520-660-6765
Practice Address - Fax:520-280-0640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care