NPIMap

Organization Active NPI

Honorhealth-Fastmed Ambulatory Holdings LLC

Doing business as HonorHealth FastMed Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
National Provider Identifier
1801403480
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC
Doing business as
HonorHealth FastMed Urgent Care
Practice address
5594 E 22ND St
Tucson, AZ 85711-5523
Phone
(520) 790-5045
NPI assigned
Sep 28, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
John Neil
Title
Evp/Cpe
Phone
(480) 587-5123

Specialties & licenses 1

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

Addresses

Primary practice location

5594 E 22ND St
Tucson, AZ 85711-5523

Mailing address

2500 W Utopia Rd
Phoenix, AZ 85027-4171
Phone (480) 587-5314

Other names 1

  • HonorHealth FastMed Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201027000044 AZ Part B Supplier - Clinic/Group Practice 0244650505 Receives reassigned benefits from 126 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Scottsdale, AZ; Surprise, AZ; Tempe, AZ; Tolleson, AZ; Gilbert, AZ; Chandler, AZ; Glendale, AZ…

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

National Provider Directory

National Provider Directory

Locations

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

3705 S Arizona Ave
Ste 1
Chandler, AZ 85248
Phone (480) 214-7828

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104

Practitioners & affiliated clinicians

Practitioners 126

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 126

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1801403480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "480-587-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5594 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857115523",
            "telephone_number": "520-790-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EVP/CPE",
        "authorized_official_telephone_number": "480-587-5123"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HonorHealth 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 Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.