Provider Demographics
NPI:1558784173
Name:IMS URGENT CARE DBA INTEGRATED MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:IMS URGENT CARE DBA INTEGRATED MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-824-3370
Mailing Address - Street 1:9250 N 3RD ST
Mailing Address - Street 2:4010
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2437
Mailing Address - Country:US
Mailing Address - Phone:602-633-3838
Mailing Address - Fax:602-633-3850
Practice Address - Street 1:255 N CENTRAL BLVD
Practice Address - Street 2:7
Practice Address - City:QUARTZSITE
Practice Address - State:AZ
Practice Address - Zip Code:85346-9998
Practice Address - Country:US
Practice Address - Phone:928-927-5658
Practice Address - Fax:928-927-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care