Provider Demographics
NPI:1144419763
Name:AMERICAN CURRENT CARE OF ARIZONA, P.A., DBA CONCENTRA URGENT CARE
Entity Type:Organization
Organization Name:AMERICAN CURRENT CARE OF ARIZONA, P.A., DBA CONCENTRA URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP, CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-232-3550
Mailing Address - Street 1:950 W SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-4512
Mailing Address - Country:US
Mailing Address - Phone:480-968-7200
Mailing Address - Fax:
Practice Address - Street 1:5080 SPECTRUM DR
Practice Address - Street 2:STE 1200 WEST TOWER
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4648
Practice Address - Country:US
Practice Address - Phone:800-232-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care