Provider Demographics
NPI:1659349918
Name:URGENT CARE PLUS L.L.C.
Entity Type:Organization
Organization Name:URGENT CARE PLUS L.L.C.
Other - Org Name:URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:GRAVISS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-256-2273
Mailing Address - Street 1:1002 E MCDOWELL RD
Mailing Address - Street 2:SUITE # 120
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2625
Mailing Address - Country:US
Mailing Address - Phone:602-256-2273
Mailing Address - Fax:602-258-5638
Practice Address - Street 1:1002 E MCDOWELL RD
Practice Address - Street 2:SUITE # 120
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2625
Practice Address - Country:US
Practice Address - Phone:602-256-2273
Practice Address - Fax:602-258-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC 3926261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care