NPIMap

Organization Active NPI

American Current Care of Arizona PA

  • Urgent Care Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1912199886
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AMERICAN CURRENT CARE OF ARIZONA PA
Practice address
120 West Fine Ave
Flagstaff, AZ 86001
Phone
(928) 773-9695
Fax
(928) 773-0208
NPI assigned
Aug 15, 2007
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Mr. William Tom Fogarty, MDNPI 1447418041
Title
President
Phone
(800) 232-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

120 West Fine Ave
Flagstaff, AZ 86001

Mailing address

5080 Spectrum Drive
Suite 1200 West
Addison, TX 75001-4625
Phone (800) 232-3550

Other identifiers 1

IdentifierTypeStateIssuer
300205MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080115000594 AZ Part B Supplier - Clinic/Group Practice 5991886020 Receives reassigned benefits from 65 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsdale, AZ; Tucson, AZ; Tempe, AZ; Phoenix, AZ; Peoria, AZ; Mesa, AZ; Flagstaff, AZ

Other NPIs on the same Medicare enrollment 14

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

View all 14

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1912199886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DRIVE",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014625",
            "telephone_number": "800-232-3550",
            "fax_number": "972-387-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEST FINE AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-773-9695",
            "fax_number": "928-773-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CURRENT CARE OF ARIZONA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-232-8550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300205",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.