NPIMap

Organization Active NPI

San Tan Urgent Care Health Center

  • Urgent Care Clinic/Center
  • Queen Creek, AZ
National Provider Identifier
1972704757
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SAN TAN URGENT CARE HEALTH CENTER
Practice address
21321 E Ocotillo Road
Suite 118
Queen Creek, AZ 85242
Phone
(480) 458-5135
Fax
(480) 458-5241
NPI assigned
May 30, 2007
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Lisa Mack
Title
Practice Administrator
Phone
(480) 458-5135

Specialties & licenses 1

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

Addresses

Primary practice location

21321 E Ocotillo Road
Suite 118
Queen Creek, AZ 85242

Mailing address

21321 E Ocotillo Rd Suite 118
Queen Creek, AZ 85242-6873
Phone (480) 458-5135

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1972704757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD SUITE 118",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426873",
            "telephone_number": "480-458-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO ROAD",
            "address_2": "SUITE 118",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85242",
            "telephone_number": "480-458-5135",
            "fax_number": "480-458-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN URGENT CARE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "480-458-5135"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.