Active NPI
Salim Medical Urgent Care Inc
Doing business as Outpatient Treatment Center
- Urgent Care Clinic/Center
- Kingman, AZ
National Provider Identifier
1306356738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- PENDING00000
- Legal business name
- SALIM MEDICAL URGENT CARE INC
- Doing business as
- Outpatient Treatment Center
Urgent Care - Practice address
- 1465 E Northern Ave
Kingman, AZ 86409-2402 - Phone
- (928) 757-5522
- Fax
- (928) 692-2591
- NPI assigned
- Oct 12, 2017
- Last updated
- Nov 22, 2023
- 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
- Armi Davies, MRS
- Title
- Secretary
- Phone
- (928) 580-4883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | PENDING00000 | AZ | Primary |
Addresses
Primary practice location
1465 E Northern Ave
Kingman, AZ 86409-2402
Mailing address
1465 E Northern Ave
Kingman, AZ 86409-2402
Phone (928) 757-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D09137168 | Other | AZ | DRIVERS LICENSE |
Other names 2
- Outpatient Treatment Center
- URGENT CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Kingman, AZ
- NPI 1144461591
-
- Pain Medicine (Anesthesiology) Physician
- Kingman, AZ
- NPI 1073510673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700611200000",
"number": "1306356738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 E NORTHERN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864092402",
"telephone_number": "928-757-5522",
"fax_number": "928-692-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 E NORTHERN AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864092402",
"telephone_number": "928-757-5522",
"fax_number": "928-692-2591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALIM MEDICAL URGENT CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-12",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A",
"authorized_official_last_name": "DAVIES",
"authorized_official_first_name": "ARMI",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "928-580-4883",
"authorized_official_credential": "MRS"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "AZ",
"license": "PENDING00000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "D09137168",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Outpatient Treatment Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "URGENT CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "URGENT CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.