Provider Demographics
NPI:1497207880
Name:VALLEY URGENT CARE, LLC.
Entity Type:Organization
Organization Name:VALLEY URGENT CARE, LLC.
Other - Org Name:VALLEY URGENT CARE.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, VALLEY URGENT CARE.
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:GABBERT
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:480-508-5777
Mailing Address - Street 1:3850 W GREENWAY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-3731
Mailing Address - Country:US
Mailing Address - Phone:480-508-5777
Mailing Address - Fax:480-508-5771
Practice Address - Street 1:3850 W GREENWAY RD STE 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-3731
Practice Address - Country:US
Practice Address - Phone:480-508-5777
Practice Address - Fax:480-508-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3813261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ202511Medicaid
AZ215133OtherMEDICARE
AZ792186Medicaid
AZ1093700296OtherPERSONAL NPI FOR DR. GABBERT.
AZ792186Medicaid
AZ83966Medicare PIN