Organization Active NPI

Eastern & Horizon Ridge,LLC

  • Urgent Care Clinic/Center
  • Henderson, NV
National Provider Identifier
1174874895
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EASTERN & HORIZON RIDGE,LLC
Practice address
10652 S Eastern Avenue
Suite a
Henderson, NV 89052
Phone
(480) 840-3075
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 Primary

Addresses

Primary practice location

10652 S Eastern Avenue
Suite a
Henderson, NV 89052

Mailing address

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

Other names 1

  • Urgent Care Extra-Eastern &Horizon Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1174874895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS",
            "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": "10652 S EASTERN AVENUE",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "480-840-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN & HORIZON RIDGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Extra-Eastern &Horizon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.