Provider Demographics
NPI:1649519919
Name:BELL URGENT CARE, LLC
Entity type:Organization
Organization Name:BELL URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABA
Authorized Official - Middle Name:
Authorized Official - Last Name:TESFAMARIAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-219-2811
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85380-0429
Mailing Address - Country:US
Mailing Address - Phone:480-219-2811
Mailing Address - Fax:480-219-7972
Practice Address - Street 1:6345 E BELL RD
Practice Address - Street 2:SUITE 4
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6452
Practice Address - Country:US
Practice Address - Phone:480-219-2811
Practice Address - Fax:480-219-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC5577261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care