Healthcare Provider Details

I. General information

NPI: 1457588006
Provider Name (Legal Business Name): URGENT CARE OF ARIZONA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 W BETHANY HOME ROAD SUITE 101
PHOENIX AZ
85015
US

IV. Provider business mailing address

19210 N 61ST AVE
GLENDALE AZ
85308-7683
US

V. Phone/Fax

Practice location:
  • Phone: 602-249-2848
  • Fax: 602-249-6038
Mailing address:
  • Phone: 602-249-2848
  • Fax: 602-249-6038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number30254
License Number StateAZ

VIII. Authorized Official

Name: MRS. RUPAL A PATEL
Title or Position: OWNER
Credential:
Phone: 602-249-2848