NPIMap

Organization Active NPI

Physician Business Serivces, LLC

  • Urgent Care Clinic/Center
  • Prescott Valley, AZ
National Provider Identifier
1639475783
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC3025 Issued in AZ
Legal business name
PHYSICIAN BUSINESS SERIVCES, LLC
Practice address
3051 N Windsong Dr
Prescott Valley, AZ 86314-2248
Phone
(928) 772-3336
Fax
(928) 772-1148
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Jennifer L Golub
Title
Administrative Assistant
Phone
(928) 772-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC3025 AZ Primary

Addresses

Primary practice location

3051 N Windsong Dr
Prescott Valley, AZ 86314-2248

Mailing address

3051 N Windsong Dr
Prescott Valley, AZ 86314-2248
Phone (928) 772-3336

Other identifiers 1

IdentifierTypeStateIssuer
553653MedicaidAZ

Other names 1

  • Prescott Valley Primary & Urgent Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physician Business Serivces LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1639475783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142248",
            "telephone_number": "928-772-3336",
            "fax_number": "928-772-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142248",
            "telephone_number": "928-772-3336",
            "fax_number": "928-772-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN BUSINESS SERIVCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "928-772-3336"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553653",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Valley Primary & Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.