NPIMap

Organization Active NPI

Arizona Institute of Medicine & Surgery

  • Urgent Care Clinic/Center
  • Kingman, AZ
National Provider Identifier
1396990800
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC-0660 Issued in AZ
Legal business name
ARIZONA INSTITUTE OF MEDICINE & SURGERY
Practice address
3636 Stockton Hill Road
Kingman, AZ 86409
Phone
(928) 757-3680
Fax
(928) 757-3614
NPI assigned
Nov 25, 2008
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Azam S. Khan
Title
Chief Administrative Officer
Phone
(928) 757-3636

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC-0660 AZ Primary
Body Imaging Physician 2085B0100X OTC660 AZ
Diagnostic Radiology Physician 2085R0202X OTC660 AZ

Addresses

Primary practice location

3636 Stockton Hill Road
Kingman, AZ 86409

Mailing address

3636 Stockton Hill Road
Kingman, AZ 86409
Phone (928) 757-3680

Other identifiers 2

IdentifierTypeStateIssuer
167933MedicaidAZ
OTC-0660OtherAZMEDICAL FACILITY LICENSING

Other names 3

  • AIMS Outpatient Treatment Center Other name
  • AIMS Urgent Care Other name
  • Outpatient Treatment Ctr Other name

National Provider Directory

National Provider Directory
Tax ID family
Aims Outpatient Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1396990800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 STOCKTON HILL ROAD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-757-3680",
            "fax_number": "928-757-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 STOCKTON HILL ROAD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-757-3680",
            "fax_number": "928-757-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INSTITUTE OF MEDICINE & SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AZAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "928-757-3636"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC-0660",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "AZ",
            "license": "OTC660",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "OTC660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167933",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL FACILITY LICENSING",
            "identifier": "OTC-0660",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIMS Outpatient Treatment Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AIMS Urgent Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Outpatient Treatment Ctr",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Outpatient Treatment Ctr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 16, 2018; 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.