Healthcare Provider Details
I. General information
NPI: 1427378397
Provider Name (Legal Business Name): NEXTCARE ARIZONA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2010
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2080 W SOUTHERN AVE STE. A1
APACHE JUNCTION AZ
85120-7455
US
IV. Provider business mailing address
2145 E BASELINE RD STE 101
TEMPE AZ
85283-1546
US
V. Phone/Fax
- Phone: 800-819-8566
- Fax:
- Phone: 888-705-8558
- Fax: 480-776-0025
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRIS
M
KANE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 888-705-8558