Organization Active NPI

Statclinix PLC

Doing business as Statclinix - Mesa

  • Urgent Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1952403834
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC3604 Issued in AZ
Legal business name
STATCLINIX PLC
Doing business as
Statclinix - Mesa
Practice address
1151 N Gilbert Rd
Mesa, AZ 85203-5127
Phone
(480) 610-0688
Fax
(480) 969-6132
NPI assigned
Sep 2, 2006
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Ms. Mary McGuire, MBA, RN
Title
Coo
Phone
(480) 516-7058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC3604 AZ Primary

Addresses

Primary practice location

1151 N Gilbert Rd
Mesa, AZ 85203-5127

Mailing address

9382 E Bahia Dr
Suite B103
Scottsdale, AZ 85260-1579
Phone (480) 682-4118

Other identifiers 1

IdentifierTypeStateIssuer
933996MedicaidAZ

Other names 1

  • Statclinix - Mesa Doing business as

National Provider Directory

National Provider Directory

Locations

15223 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 682-4100

Practitioners & affiliated clinicians

Practitioners 2

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": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1952403834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9382 E BAHIA DR",
            "address_2": "SUITE B103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601579",
            "telephone_number": "480-682-4118",
            "fax_number": "480-374-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035127",
            "telephone_number": "480-610-0688",
            "fax_number": "480-969-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCLINIX PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-516-7058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "933996",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Statclinix - Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.