Organization Active NPI

Salim Medical Urgent Care Inc

Doing business as Outpatient Treatment Center

  • Urgent Care Clinic/Center
  • Kingman, AZ
National Provider Identifier
1306356738
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
PENDING00000 Issued in AZ
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D09137168OtherAZDRIVERS LICENSE

Other names 2

  • Outpatient Treatment Center Doing business as
  • URGENT CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180130000769 AZ Part B Supplier - Clinic/Group Practice 8022376698 Receives reassigned benefits from 4 practitioners
Practice locations: Kingman, AZ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.