Organization Active NPI

Fountain Hills Medical Center LLC

  • Emergency Care Clinic/Center
  • Fountain Hills, AZ
National Provider Identifier
1609496397
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
FOUNTAIN HILLS MEDICAL CENTER LLC
Practice address
9700 N Saguaro Blvd
Fountain Hills, AZ 85268-6241
Phone
(602) 671-7990
Fax
(602) 755-0456
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Meka N Ezeume, MD
Title
President/Ceo
Phone
(602) 214-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

9700 N Saguaro Blvd
Fountain Hills, AZ 85268-6241

Mailing address

9700 N Saguaro Blvd
Fountain Hills, AZ 85268-6241
Phone (602) 671-7990

Other practice location 1

12000 N El Mirage Rd
El Mirage, AZ 85335-3287
Phone (480) 360-1853

Other names 3

  • EL MIRAGE EMERGENCY AND MEDICAL CENTER Doing business as
  • FOUNTAIN HILLS MEDICAL CENTER Doing business as
  • FOUNTAIN HILLS MEDICAL CENTER EMERGENCY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210416001675 AZ Part B Supplier - Clinic/Group Practice 2961818976 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: El Mirage, AZ; Fountain Hills, AZ
O20210503002389 AZ Part B Supplier - Clinic/Group Practice 8729497706 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: El Mirage, AZ; Fountain Hills, AZ

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

9700 N Saguaro Blvd
Ste 1
Fountain Hills, AZ 85268

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1609496397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N SAGUARO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686241",
            "telephone_number": "602-671-7990",
            "fax_number": "602-755-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 N SAGUARO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686241",
            "telephone_number": "602-671-7990",
            "fax_number": "602-755-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 N El Mirage Rd",
            "address_purpose": "LOCATION",
            "city": "El Mirage",
            "state": "AZ",
            "postal_code": "853353287",
            "country_code": "US",
            "telephone_number": "480-360-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNTAIN HILLS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "EZEUME",
        "authorized_official_first_name": "MEKA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-214-8061",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL MIRAGE EMERGENCY AND MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOUNTAIN HILLS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOUNTAIN HILLS MEDICAL CENTER EMERGENCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOUNTAIN HILLS MEDICAL CENTER EMERGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.