Statclinix PLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

OTC 3916 Issued in AZ

Legal business name

STATCLINIX PLC

Doing business as

Statclinix - Show Low

Practice address

680 E Deuce of Clubs
Suite B
Show Low, AZ 85901-4827

Phone

(928) 537-2777

Fax

(928) 537-2787

NPI assigned

Sep 20, 2006

Last updated

Apr 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary McGuire, MBA, RN

Title

Coo

Phone

(480) 516-7058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Statclinix - Show Low Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1093812083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9382 E BAHIA DR",
            "address_2": "SUITE B103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601579",
            "telephone_number": "480-682-4118",
            "fax_number": "480-374-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E DEUCE OF CLUBS",
            "address_2": "SUITE B",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014827",
            "telephone_number": "928-537-2777",
            "fax_number": "928-537-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCLINIX PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-516-7058",
        "authorized_official_credential": "MBA, RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC 3916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052086",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Statclinix - Show Low",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Melissa M Starkel, LCSW
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• Tiffany Stirling, N.C.C.
• Kylee Renae Strickland
• Patricia Rose Suing, DMD
• Stephen Sullman, RPH

• Urgent Care Clinic/Center in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Urgent Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.