Active NPI
Eastern & Horizon Ridge,LLC
- Urgent Care Clinic/Center
- Henderson, NV
National Provider Identifier
1174874895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.