Arizona Family Care Associates Urgent Care Clinic, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ARIZONA FAMILY CARE ASSOCIATES URGENT CARE CLINIC, LLC

Practice address

302 El Camino Real
Suite 11CD
Sierra Vista, AZ 85635-2860

Phone

(520) 458-9644

Fax

(520) 417-9436

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Fred B Williams, ED. D

Title

Ceo

Phone

(520) 458-4335

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• John K Barberii, MD

  • Emergency Medicine Physician
  • Sierra Vista, AZ
  • NPI 1629163068
  NPD (past)
• Eric Wane Tunell, DO

  • Emergency Medicine Physician
  • Thatcher, AZ
  • NPI 1497774061
  NPD (past)
• Drew Evan Fenton, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1508837873
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1396777447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SOUTH SECOND ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351830",
            "telephone_number": "520-458-4335",
            "fax_number": "520-458-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL",
            "address_2": "SUITE 11CD",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-458-9644",
            "fax_number": "520-417-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA FAMILY CARE ASSOCIATES URGENT CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-458-4335",
        "authorized_official_credential": "ED. D"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "5382700001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC1464",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona Ambulance of Douglas Inc (Arizona Ambulance Transportation)
• Arizona CVS Stores LLC (CVS Pharmacy 08828)
• Arizona Dental Professionals, P.C. (Dental Village - Sierra Vista)
• Arizona Family Care Associates Imaging LLC
• Arizona Family Care Associates Urgent Care Clinic, LLC
• Arizona Family Care Associates, Inc.
• Arizona in-Home Partner-III, LLC
• Arizona Tongue Tie Center (Arizona Breastfeeding Medicine & Wellness, PLLC)
• Arizona Urology Center, PLLC
• Arizona World

• Emergency Medicine Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.