NPIMap

Organization Active NPI

East Valley Urgent Care, LLC

Doing business as Urgent Care Extra-43rd&Bell

  • Urgent Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1619228335
Registry record updated Sep 26, 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-43rd&Bell
Practice address
4232 W Bell Rd
Ste C1
Phoenix, AZ 85308
Phone
(480) 840-3075
Fax
(480) 988-0061
NPI assigned
Sep 20, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 NU Primary

Addresses

Primary practice location

4232 W Bell Rd
Ste C1
Phoenix, AZ 85308

Mailing address

3336 E Chandler Heights Rd
#121
Gilbert, AZ 85298-4259
Phone (480) 840-3075

Other names 1

  • Urgent Care Extra-43rd&Bell 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

Locations

4232 W Bell Rd
Ste C1
Glendale, AZ 85308
Phone (602) 639-4535

Practitioners & affiliated clinicians

Practitioners 8

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": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1619228335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD",
            "address_2": "#121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984259",
            "telephone_number": "480-840-3075",
            "fax_number": "480-988-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 W BELL RD",
            "address_2": "STE C1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "480-840-3075",
            "fax_number": "480-988-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-26",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Extra-43rd&Bell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.