ICARE CENTER CHANDLER LLC (NPI# 1831757954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831757954 |
Entity Type | Organization |
Organization Name | ICARE CENTER CHANDLER LLC |
Practice Address |
200 Praire Lane Chandler OK 74834 |
Mailing Address |
Po Box 610 Canute OK 73626-0610 |
Practice Telephone | 4056828383 |
Practice Fax Number | 4052655230 |
Mailing Telephone | 4056828383 |
Mailing Fax Number | 4052655230 |
Enumeration Date | 2019-06-04 |
Last Update Date | 2019-08-09 |
Authorized Official Name | SENTHIL K RAJU (PROVIDER) |
Authorized Official Telephone | 4056828383 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Street Address |
200 PRAIRE LANE |
City | CHANDLER |
State | OK |
Zip Code | 74834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699283143 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 1116 Monvel Ave., Chandler, OK 74834 | 2018-01-18 |
1174995336 | Family Medicine & Urgent Care of Chandler, LLC | Nurse Practitioner | 405 N. Industrial Rd., Chandler, OK 74834 | 2015-10-28 |
1437481181 | Laurena Kleckner | Counselor | 112 North Kckinley Avenue, Chandler, OK 74834 | 2010-02-05 |
1578750196 | Kaw PC | Dentist | 1516 S Iowa, Chandler, OK 74834 | 2007-09-27 |
1457568719 | Oklahoma Mental Health Council | Community/Behavioral Health | 1605 E 1st St., Chandler, OK 74834 | 2007-05-17 |
1003038183 | Holly Melissa Shelton | Counselor | 112 N Mckinley, Chandler, OK 74834 | 2007-05-02 |
1235359548 | Oklahoma Mental Health Council | Community/Behavioral Health | 112 Mickley N, Chandler, OK 74834 | 2007-04-27 |
1215010913 | Daniel Joseph Wilguess | Dentist | 1516 South Iowa, Chandler, OK 74834 | 2006-10-24 |
1740394253 | Ashley Farmer | Counselor | 112 N. Mckinley, Chandler, OK 74834 | 2006-08-19 |
1518070267 | Stacy Renee Jones | Counselor | 112 North Mckinley, Chandler, OK 74834 | 2006-08-16 |
Find all providers in zip 74834 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1396352985 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3705 S Arizona Ave Ste 1, Chandler, AZ 85248-2703 | 2020-09-28 |
1316384175 | Tri-city Express Care, Pllc | Clinic/Center | 4959 W Ray Rd, Suite 33, Chandler, AZ 85226-2098 | 2013-06-03 |
1255677415 | Tri-city Express Care, Pllc | Clinic/Center | 3705 S. Arizona Avenue, Suite 1, Chandler, AZ 85248-4500 | 2012-12-17 |
1629329503 | East Valley Urgent Care,llc | Clinic/Center | 4959 W Ray Road, Chandler, AZ 85226 | 2012-10-02 |
1639226806 | Sun Valley Pediatric Urgent Care | Clinic/Center | 4045 W Chandler Blvd, Chandler, AZ 85226-3732 | 2007-01-03 |
1619045846 | Chandler Valley Urgent Care Clinic, Inc. | Clinic/Center | 936 W Chandler Blvd, Suite 1, Chandler, AZ 85225-2531 | 2006-12-04 |
1518952365 | Ucxtra Umbrella, LLC | Clinic/Center | 3200 S Gilbert Rd, Chandler, AZ 85286-5107 | 2005-09-19 |
1003425711 | New Life Urgent Care | Clinic/Center | 3029 N Alma School Rd Ste 109, Chandler, AZ 85224-1465 | 2020-07-28 |
Find all providers in CHANDLER |
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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.