NPIMap

Organization Active NPI

East Valley Urgent Care, LLC

Doing business as Urgent Care Extra-Ironwood

  • Urgent Care Clinic/Center
  • San Tan Valley, AZ
National Provider Identifier
1649515347
Registry record updated Dec 6, 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-Ironwood
Practice address
40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Phone
(602) 714-1271
Fax
(480) 987-6566
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002

Mailing address

855 E Warner Rd
Suite F100
Chandler, AZ 85225-0997
Phone (480) 840-3075

Other names 1

  • Urgent Care Extra-Ironwood 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

855 E Warner Rd
Ste F100
Chandler, AZ 85225
Phone (480) 620-6724

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1649515347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E WARNER RD",
            "address_2": "SUITE F100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852250997",
            "telephone_number": "480-840-3075",
            "fax_number": "480-840-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40773 N IRONWOOD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407002",
            "telephone_number": "602-714-1271",
            "fax_number": "480-987-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "GRONBERG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SR 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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Extra-Ironwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.