Provider Demographics
NPI:1720032394
Name:SOUTHWEST URGENT CARE, PLC.
Entity Type:Organization
Organization Name:SOUTHWEST URGENT CARE, PLC.
Other - Org Name:MCKELLIPS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:BINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-844-7400
Mailing Address - Street 1:535 E MCKELLIPS RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-2522
Mailing Address - Country:US
Mailing Address - Phone:480-844-7400
Mailing Address - Fax:602-443-6751
Practice Address - Street 1:535 E MCKELLIPS RD
Practice Address - Street 2:SUITE #100
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-2522
Practice Address - Country:US
Practice Address - Phone:480-844-7400
Practice Address - Fax:602-443-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care