Organization Active NPI

Tri-City Express Care, PLLC

Doing business as FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
National Provider Identifier
1710239082
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC5551 Issued in AZ
Legal business name
TRI-CITY EXPRESS CARE, PLLC
Doing business as
FastMed Urgent Care
Practice address
1400 N Wilmot Rd
Suite 110
Tucson, AZ 85712-4498
Phone
(520) 884-4999
Fax
(520) 300-6669
NPI assigned
Oct 10, 2012
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Dr. Michael P. Dunn, MD
Title
Cmo
Phone
(480) 545-2787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC5551 AZ Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1400 N Wilmot Rd
Suite 110
Tucson, AZ 85712-4498

Mailing address

890 W Elliot Rd
Suite 103
Gilbert, AZ 85233-5102
Phone (480) 545-2787

Other identifiers 1

IdentifierTypeStateIssuer
806712MedicaidAZ

Other names 1

  • FastMed Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

1400 N Wilmot Rd
Ste 100
Tucson, AZ 85712

Practitioners & affiliated clinicians

Practitioners 60

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 60

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1710239082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335102",
            "telephone_number": "480-545-2787",
            "fax_number": "480-545-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WILMOT RD",
            "address_2": "SUITE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124498",
            "telephone_number": "520-884-4999",
            "fax_number": "520-300-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY EXPRESS CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "480-545-2787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC5551",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806712",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.