Provider Demographics
NPI:1386003788
Name:SOUTHERN ARIZONA URGENT CARE, LLC
Entity Type:Organization
Organization Name:SOUTHERN ARIZONA URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-894-1718
Mailing Address - Street 1:7725 N ORACLE RD
Mailing Address - Street 2:STE 131
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6986
Mailing Address - Country:US
Mailing Address - Phone:520-544-2273
Mailing Address - Fax:520-544-4227
Practice Address - Street 1:90 W RIVER RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5130
Practice Address - Country:US
Practice Address - Phone:520-544-2273
Practice Address - Fax:520-544-4227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC7790261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care