Provider Demographics
NPI:1639538846
Name:STRIPES URGENT CARE, LLC
Entity Type:Organization
Organization Name:STRIPES URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIKWENDU
Authorized Official - Middle Name:C
Authorized Official - Last Name:NWOSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-984-5225
Mailing Address - Street 1:3846 E LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-9130
Mailing Address - Country:US
Mailing Address - Phone:480-984-5225
Mailing Address - Fax:480-984-5447
Practice Address - Street 1:6820 S KINGS RANCH RD
Practice Address - Street 2:SUITE 130
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85118-2935
Practice Address - Country:US
Practice Address - Phone:480-246-3411
Practice Address - Fax:480-984-5447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care