Healthcare Provider Details
I. General information
NPI: 1386525285
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF ARIZONA, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3010 W AGUA FRIA FWY STE 200
PHOENIX AZ
85027-3943
US
IV. Provider business mailing address
5080 SPECTRUM DR STE 1200W
ADDISON TX
75001-4624
US
V. Phone/Fax
- Phone: 602-375-1155
- Fax: 608-866-9169
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
ANDERSON
Title or Position: VP
Credential:
Phone: 615-778-4066