Active NPI
Renewed Medical Health Urgent Care, LLC
- Urgent Care Clinic/Center
- Green Valley, AZ
National Provider Identifier
1104515196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- RENEWED MEDICAL HEALTH URGENT CARE, LLC
- Practice address
- 514 E Whitehouse Canyon Rd Ste 110
Green Valley, AZ 85614-0539 - Phone
- (520) 777-7831
- Fax
- (520) 777-7832
- NPI assigned
- May 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beate Watkins
- Title
- Practice Manager
- Phone
- (520) 777-7831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
514 E Whitehouse Canyon Rd Ste 110
Green Valley, AZ 85614-0539
Mailing address
2825 E Broadway Blvd
Tucson, AZ 85716-5309
Phone (520) 298-0005
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2281890 | Renewed Health Urgent Care LLC | Certificate of waiver | May 11, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1104515196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857165309",
"telephone_number": "520-298-0005",
"fax_number": "520-777-7832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 E WHITEHOUSE CANYON RD STE 110",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856140539",
"telephone_number": "520-777-7831",
"fax_number": "520-777-7832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED MEDICAL HEALTH URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-04",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "WATKINS",
"authorized_official_first_name": "BEATE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "520-777-7831"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.