NPIMap

Organization Active NPI

Flagstaff Walk in Clinic LLC

  • Urgent Care Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1629191788
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC3956 Issued in AZ
Legal business name
FLAGSTAFF WALK IN CLINIC LLC
Doing business as
Walk in Medical Care
Practice address
1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4748
Phone
(928) 527-1920
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Mr. Kurt Petrie
Title
Ceo
Phone
(928) 527-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC3956 AZ Primary

Addresses

Primary practice location

1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4748

Mailing address

1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4748
Phone (928) 527-1920

Other names 1

  • Walk in Medical Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1629191788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66 STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014748",
            "telephone_number": "928-527-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66 STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014748",
            "telephone_number": "928-527-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTAFF WALK IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-527-1920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walk in Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.