Organization Active NPI

Mollen Immunization Clinics II, LLC

  • Health Service Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1255508230
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MOLLEN IMMUNIZATION CLINICS II, LLC
Practice address
8324 E. Hartford Drive
Scottsdale, AZ 85255
Phone
(480) 214-2000
Fax
(480) 718-8358
NPI assigned
May 9, 2008
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Teresa Robinson
Title
Chief Financial Officer
Phone
(480) 214-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

8324 E. Hartford Drive
Scottsdale, AZ 85255

Mailing address

8324 E. Hartford Drive
Scottsdale, AZ 85255
Phone (480) 214-2000

Other identifiers 1

IdentifierTypeStateIssuer
PHC 066OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

8320 E Hartford Dr
#101B
Scottsdale, AZ 85255
Phone (480) 563-0120

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1255508230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 E. HARTFORD DRIVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-214-2000",
            "fax_number": "480-718-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 E. HARTFORD DRIVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-214-2000",
            "fax_number": "480-718-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLEN IMMUNIZATION CLINICS II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "480-214-2000"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PHC 066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.