NPIMap

Organization Active NPI

East Valley Urgent Care,LLC

Doing business as Urgent Care Extra- Cooper

  • Urgent Care Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1093067894
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EAST VALLEY URGENT CARE,LLC
Doing business as
Urgent Care Extra- Cooper
Practice address
641 W Warner Rd
Gilbert, AZ 85233
Phone
(480) 840-3075
NPI assigned
Oct 4, 2012
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra Gronberg
Title
Senior Executive VP Operations
Phone
(480) 840-3075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

641 W Warner Rd
Gilbert, AZ 85233

Mailing address

3336 E Chandler Heights Rd
Ste 121
Gilbert, AZ 85298
Phone (480) 840-3075

Other identifiers 1

IdentifierTypeStateIssuer
83288OtherMEDICARE ID- TYPE UNSPECIFIED

Other names 1

  • Urgent Care Extra- Cooper Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Valley Urgent Carellc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

3336 E Chandler Heights Rd
Ste 121
Gilbert, AZ 85298
Phone (480) 245-7027

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1093067894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD",
            "address_2": "STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85298",
            "telephone_number": "480-840-3075",
            "fax_number": "480-988-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-840-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY URGENT CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "GRONBERG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SENIOR EXECUTIVE VP OPERATIONS",
        "authorized_official_telephone_number": "480-840-3075"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- TYPE UNSPECIFIED",
            "identifier": "83288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Extra- Cooper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.