NPIMap

Organization Active NPI

Peoria Urgent Care and Walk in Clinic PLLC

  • Urgent Care Clinic/Center
  • Peoria, AZ
National Provider Identifier
1093439762
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PEORIA URGENT CARE AND WALK IN CLINIC PLLC
Practice address
9163 W Union Hills Dr Ste 107
Peoria, AZ 85382-8187
Phone
(313) 948-3055
NPI assigned
Sep 27, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Nancy Molnar
Title
Business Operations Manager
Phone
(313) 948-3055

Specialties & licenses 1

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

Addresses

Primary practice location

9163 W Union Hills Dr Ste 107
Peoria, AZ 85382-8187

Mailing address

14671 Telegraph Rd
Redford, MI 48239-3300
Phone (313) 948-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230503003058 AZ Part B Supplier - Clinic/Group Practice 1153798590 Receives reassigned benefits from 16 practitioners
Practice locations: Peoria, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2271201Peoria Urgent Care and Walk in Clinic PLLC9163 W Union Hills Dr Ste 107, Peoria, AZ 85382Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

9163 W Union Hills Dr
Ste 107
Peoria, AZ 85382

9245 W Union Hills Dr
Ste 107
Peoria, AZ 85382

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1093439762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14671 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393300",
            "telephone_number": "313-948-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9163 W UNION HILLS DR STE 107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828187",
            "telephone_number": "313-948-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA URGENT CARE AND WALK IN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "MOLNAR",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
        "authorized_official_telephone_number": "313-948-3055"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.