Active NPI
Mollen Immunization Clinics II, LLC
- Health Service Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1255508230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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, 2013
- 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
- Teresa Robinson
- Title
- Chief Financial Officer
- Phone
- (480) 214-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHC 066 | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.