NPIMap

Organization Active NPI

Honorhealth-Fastmed Ambulatory Holdings LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
National Provider Identifier
1346857950
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC
Practice address
1804 W Elliot Rd
Tempe, AZ 85284-1004
Phone
(480) 456-0444
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
John Neil
Title
Evp/Cpe
Phone
(480) 587-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1804 W Elliot Rd
Tempe, AZ 85284-1004

Mailing address

2500 W Utopia Rd
Phoenix, AZ 85027-4171
Phone (480) 587-5314

Other names 1

  • HonorHealth FastMed 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
O20201027000044 AZ Part B Supplier - Clinic/Group Practice 0244650505 Receives reassigned benefits from 126 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Scottsdale, AZ; Surprise, AZ; Tempe, AZ; Tolleson, AZ; Gilbert, AZ; Chandler, AZ; Glendale, AZ…

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

National Provider Directory

National Provider Directory
Tax ID family
Honorhealth Fastmed Urgent Care18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1346857950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "480-587-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W ELLIOT RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841004",
            "telephone_number": "480-456-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EVP/CPE",
        "authorized_official_telephone_number": "480-587-5123"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HonorHealth FastMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.