Provider Demographics
NPI:1699153197
Name:ARIZONA URGENT CARE
Entity type:Organization
Organization Name:ARIZONA URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLOUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-213-9951
Mailing Address - Street 1:1125 E SANDPIPER DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2022
Mailing Address - Country:US
Mailing Address - Phone:480-213-9951
Mailing Address - Fax:480-383-6171
Practice Address - Street 1:1641 W GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8878
Practice Address - Country:US
Practice Address - Phone:480-213-9951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care