MEDICARE: NEXTCARE ARIZONA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1205156239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXTCARE ARIZONA LLC

Provider Business Mailing Address
First Line	:	2145 E BASELINE RD STE 101
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-1546
Country	:	US
Telephone Number	:	888-705-8558
Fax Number	:	480-776-0025

Provider Business Practice Location Address
First Line	:	3229 E GREENWAY RD
Second Line	:	STE. 102
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4508
Country	:	US
Telephone Number	:	800-819-8566
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	CHRIS M KANE
Credential	:
Telephone Number	:	888-705-8558

Provider Enumeration Date	:	06/01/2010
Last Update Date	:	01/29/2025

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