NPIMap

Organization Active NPI

East Valley Urgent Care,LLC

Doing business as Urgent Care Extra-Pecos

  • Urgent Care Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1609127596
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EAST VALLEY URGENT CARE,LLC
Doing business as
Urgent Care Extra-Pecos
Practice address
3126 S Higley Rd Ste 109
Gilbert, AZ 85297
Phone
(480) 436-8102
NPI assigned
Oct 2, 2012
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Sandra Gronberg, RN
Title
Senior Executive VP Operations
Phone
(480) 840-3075

Specialties & licenses 1

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

Addresses

Primary practice location

3126 S Higley Rd Ste 109
Gilbert, AZ 85297

Mailing address

3336 E Chandler Heights Ste121
Gilbert, AZ 85298
Phone (480) 840-3075

Other identifiers 1

IdentifierTypeStateIssuer
83288OtherMEDICARE ID-TYPE UNSPECIFIED

Other names 1

  • Urgent Care Extra-Pecos Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Valley Urgent Carellc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1609127596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS STE121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85298",
            "telephone_number": "480-840-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 S HIGLEY RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-436-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY URGENT CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "GRONBERG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SENIOR EXECUTIVE VP OPERATIONS",
        "authorized_official_telephone_number": "480-840-3075",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "83288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Extra-Pecos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.