19TH AVENUE CLINIC LLC (NPI# 1053667709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053667709 |
Entity Type | Organization |
Organization Name | 19TH AVENUE CLINIC LLC |
Other Organization Name | ADVANCED URGENT CARE |
Practice Address |
835 W University Dr Mesa AZ 85201-5555 |
Mailing Address |
Po Box 32950 Phoenix AZ 85064-2950 |
Practice Telephone | 4806646007 |
Practice Fax Number | 4806646017 |
Mailing Telephone | 6022756110 |
Mailing Fax Number | 6022423519 |
Enumeration Date | 2012-07-31 |
Last Update Date | 2012-07-31 |
Authorized Official Name | MS. RENEE L BISKUPSKI (VP OF OPERATIONS) |
Authorized Official Telephone | 6024331822 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ADVANCED URGENT CARE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225384985 | 19th Avenue Clinic LLC | Clinic/Center | 401 E Bell Rd Ste 18, Phoenix, AZ 85022-2395 | 2012-07-31 |
1407102163 | 19th Avenue Clinic LLC | Clinic/Center | 3302 W Thomas Rd Ste 10, Phoenix, AZ 85017-5605 | 2012-07-31 |
1275889933 | 19th Avenue Clinic LLC | Clinic/Center | 8260 W Indian School Rd Ste 1, Phoenix, AZ 85033-2980 | 2012-07-31 |
1154606945 | 19th Avenue Clinic LLC | Clinic/Center | 5201 N 19th Ave Ste 100, Phoenix, AZ 85015-2951 | 2011-10-12 |
1033466651 | 19th Avenue Clinic LLC | Clinic/Center | 2301 N 44th St, Phoenix, AZ 85008-2420 | 2012-08-14 |
1811244601 | 19th Avenue Clinic LLC | Clinic/Center | 1804 W Elliot Rd, Tempe, AZ 85284-1004 | 2012-08-10 |
Street Address |
835 W UNIVERSITY DR |
City | MESA |
State | AZ |
Zip Code | 85201-5555 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063029601 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 835 W University Dr, Mesa, AZ 85201-5555 | 2020-09-28 |
1275959389 | Tri-city Express Care, Pllc | Clinic/Center | 835 W University Dr, Mesa, AZ 85201-5555 | 2014-03-13 |
1619225802 | Kiran I Thaker | Physician Assistant | 835 W University Dr, Mesa, AZ 85201-5555 | 2012-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
Find all providers in zip 85201 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982211512 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 1810 S Power Rd Ste 101, Mesa, AZ 85206-4325 | 2020-09-28 |
1427615012 | Honorhealth Urgent Care, LLC | Clinic/Center | 1124 E Mckellips Rd Ste 102, Mesa, AZ 85203-2766 | 2019-05-20 |
1174095798 | Banner Urgent Care Services, LLC | Clinic/Center | 1908 E Mckellips Rd, Mesa, AZ 85203-2866 | 2018-12-20 |
1790257319 | Banner Urgent Care Services, LLC | Clinic/Center | 407 N Lindsay Rd Ste 103, Mesa, AZ 85213-7712 | 2018-12-20 |
1891267415 | Banner Urgent Care Services, LLC | Clinic/Center | 1955 W Guadalupe Rd Ste 101&102, Mesa, AZ 85202-7487 | 2018-12-20 |
1366872756 | Allkids Urgent Care, LLC | Clinic/Center | 10720 E Southern Ave Ste 112a, Mesa, AZ 85209-3812 | 2013-11-21 |
1396097283 | East Valley Urgent Care,llc | Clinic/Center | 1120 S Gilbert Rd, Mesa, AZ 85204 | 2012-10-03 |
1962786269 | Tri-city Express Care Pllc | Clinic/Center | 1810 S Power Rd, Suite 101, Mesa, AZ 85206-4308 | 2011-10-05 |
1649554940 | Tri-city Express Care, Pllc | Clinic/Center | 1955 S Signal Butte Rd, Suite 103, Mesa, AZ 85209-2608 | 2011-10-05 |
1770802068 | Nextcare Arizona LLC | Clinic/Center | 4401 E Mckellips Rd, Ste, 102, Mesa, AZ 85215-2558 | 2010-05-26 |
Find all providers in MESA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.