Provider Demographics
NPI:1669916607
Name:4C MEDICAL GROUP PLC
Entity type:Organization
Organization Name:4C MEDICAL GROUP PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAURASIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-455-3000
Mailing Address - Street 1:9590 E IRONWOOD SQUARE DR
Mailing Address - Street 2:STE 125
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4581
Mailing Address - Country:US
Mailing Address - Phone:480-455-3000
Mailing Address - Fax:
Practice Address - Street 1:36889 N. TOM DARLINGTON DR
Practice Address - Street 2:STE A-4
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377-5925
Practice Address - Country:US
Practice Address - Phone:480-488-9220
Practice Address - Fax:480-488-7014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care