Healthcare Provider Details

I. General information

NPI: 1326867904
Provider Name (Legal Business Name): URGENTCARE OF COOLIDGE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 W CENTRAL AVE
COOLIDGE AZ
85128-4405
US

IV. Provider business mailing address

171 W CENTRAL AVE
COOLIDGE AZ
85128-4405
US

V. Phone/Fax

Practice location:
  • Phone: 520-660-6765
  • Fax: 520-280-0640
Mailing address:
  • Phone: 520-660-6765
  • Fax: 520-280-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHETAN SHAILESHKUMAR PATEL
Title or Position: OWNER
Credential: NP
Phone: 520-723-7726