Provider Demographics
NPI:1306356738
Name:SALIM MEDICAL URGENT CARE INC
Entity Type:Organization
Organization Name:SALIM MEDICAL URGENT CARE INC
Other - Org Name:URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ARMI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:MRS
Authorized Official - Phone:928-580-4883
Mailing Address - Street 1:1465 E NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409-2402
Mailing Address - Country:US
Mailing Address - Phone:928-757-5522
Mailing Address - Fax:928-692-2591
Practice Address - Street 1:1465 E NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409-2402
Practice Address - Country:US
Practice Address - Phone:928-757-5522
Practice Address - Fax:928-692-2591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPENDING00000261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD09137168OtherDRIVERS LICENSE