Organization Active NPI

Renewed Medical Health Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Green Valley, AZ
National Provider Identifier
1104515196
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Aug 25, 2023

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)CodeLicenseStatePrimary
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 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
03D2281890Renewed Health Urgent Care LLC514 E Whitehouse Canyon Rd Suite 110, Green Valley, AZ 85614Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.