Provider Demographics
NPI:1518389543
Name:OCCUPATIONAL & URGENT CARE HEALTHCENTERS, LLC
Entity Type:Organization
Organization Name:OCCUPATIONAL & URGENT CARE HEALTHCENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-272-1162
Mailing Address - Street 1:3501 W OSBORN RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85019-4037
Mailing Address - Country:US
Mailing Address - Phone:602-272-1162
Mailing Address - Fax:602-773-0287
Practice Address - Street 1:177 W COTTONWOOD LN
Practice Address - Street 2:SUITE 5
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-2552
Practice Address - Country:US
Practice Address - Phone:602-272-1162
Practice Address - Fax:602-773-0287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC3935261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care