HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE LLC (NPI# 1568658870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568658870 |
| Entity Type | Organization |
| Organization Name | HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE LLC |
| Practice Address |
77 E Fry Blvd Sierra Vista AZ 85635 |
| Mailing Address |
Po Box 17689 Tucson AZ 85731-7689 |
| Practice Telephone | 5204598915 |
| Practice Fax Number | 5204589424 |
| Mailing Telephone | 5208852231 |
| Mailing Fax Number | 5208852471 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | DR. WARREN GLUCK (PRESIDENT) |
| Authorized Official Telephone | 5208852231 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 278400 | 05 |
| Street Address |
77 E FRY BLVD |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356356067 | Louise Nosanchuck | Family Medicine | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 | 2006-07-30 |
| 1841682002 | High Desert Urgent Care | Family Medicine | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 | 2015-02-25 |
| 1578842209 | Mesquite Medical Services, Pllc | Nurse Practitioner | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305312 | Right Care Urgent Care LLC | Clinic/Center | 9041 E Talking Stick Way, Scottsdale, AZ 85250-8521 | 2020-10-26 |
| 1528675865 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4959 W Ray Rd Ste 33, Chandler, AZ 85226-2098 | 2020-09-30 |
| 1952918583 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2875 W Ray Rd Ste 8, Chandler, AZ 85224-3619 | 2020-09-28 |
| 1962019554 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 725 S Rural Rd Ste 120, Tempe, AZ 85281-2047 | 2020-09-28 |
| 1265049894 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 12775 W Bell Rd Ste 100, Surprise, AZ 85378-9770 | 2020-09-28 |
| 1982211512 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 1810 S Power Rd Ste 101, Mesa, AZ 85206-4325 | 2020-09-28 |
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1891302428 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3244 S Mill Ave Ste 101, Tempe, AZ 85282-3688 | 2020-09-28 |
| 1396352985 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3705 S Arizona Ave Ste 1, Chandler, AZ 85248-2703 | 2020-09-28 |
| 1588271118 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 4902 E Shea Blvd Ste 101, Scottsdale, AZ 85254-4184 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE LLC.
| 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.