Carondelet Medical Group Urgent Care, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CARONDELET MEDICAL GROUP URGENT CARE, INC

Practice address

1704 W Anklam Rd # 105
Tucson, AZ 85745-2656

Phone

(520) 617-4920

Fax

(520) 791-2246

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter B Davis

Title

Chief Executive Officer

Phone

(520) 872-7244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1689874950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5087",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857030087",
            "telephone_number": "520-872-7013",
            "fax_number": "520-872-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W ANKLAM RD # 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452656",
            "telephone_number": "520-617-4920",
            "fax_number": "520-791-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET MEDICAL GROUP URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "520-872-7244"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carondelet St Marys Campus LLC (Carondelet Silverbell Surgery Center)
• Carondelet St. Joseph's Hospital
• Carondelet St. Mary's Northwest, LLC (Carondelet Foothills Surgery Center)

• Urgent Care Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Urgent Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.