Active NPIOrganization

19TH Avenue Clinic LLC

Clinic/Center, Urgent Care in Phoenix, Arizona

NPI Number1154606945
Practice location
5201 N 19TH Ave Ste 100, Phoenix, AZ 85015-2951
Fax
602-795-1999
Last updated
October 12, 2011

19TH Avenue Clinic LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 19TH Avenue Clinic LLC is 1154606945. The current practice location address is 5201 N 19TH Ave Ste 100, Phoenix, AZ 85015-2951 and the office can be reached by phone at 602-795-1411 and by fax at 602-795-1999. The NPI was assigned on October 12, 2011 and the record was last updated in NPPES on October 12, 2011.

●Provider Profile Details

NPI Number
1154606945
Provider Name
19TH Avenue Clinic LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Clinic/Center, Urgent Care · 261QU0200X
Organization Subpart
No
Authorized Official
Mrs. Renee L Biskupski · Vp Of Operations · 602-433-1822
Enumeration Date
October 12, 2011
Last Update Date
October 12, 2011
NPI Status
Active
Other Names
Advanced Urgent Care (Doing Business As)

◉Business Practice Location Address

Address
5201 N 19TH Ave Ste 100
Phoenix, AZ 85015-2951
State
Arizona
ZIP
85015-2951
Country
US
Phone Number
602-795-1411
Fax Number
602-795-1999

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✉Business Mailing Address

Address
Po Box 32950
Phoenix, AZ 85064-2950
City
Phoenix
State
AZ
ZIP
85064-2950
Phone Number
602-275-6110
Fax Number
602-242-3519

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Clinic/Center, Urgent Care261QU0200XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 19TH Avenue Clinic LLC?

The NPI number of 19TH Avenue Clinic LLC is 1154606945. It was assigned on October 12, 2011 and is currently active in the NPPES registry.

What is the specialty of 19TH Avenue Clinic LLC?

19TH Avenue Clinic LLC is registered under the primary taxonomy Clinic/Center, Urgent Care (code 261QU0200X).

Where does 19TH Avenue Clinic LLC practice?

The practice location is 5201 N 19TH Ave Ste 100, Phoenix, AZ 85015-2951. The office can be reached at 602-795-1411 (phone) or 602-795-1999 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154606945 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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