Provider Demographics
NPI:1376947655
Name:SNAPCARE CONVENIENCE HEALTHCARE CLINIC PLLC
Entity Type:Organization
Organization Name:SNAPCARE CONVENIENCE HEALTHCARE CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHALICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLINICK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:480-664-2753
Mailing Address - Street 1:740 E HERMOSA DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5351
Mailing Address - Country:US
Mailing Address - Phone:480-664-2753
Mailing Address - Fax:
Practice Address - Street 1:2525 S RURAL RD STE 4N
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-2442
Practice Address - Country:US
Practice Address - Phone:480-664-2753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty