MEDICARE: URGENTCARE OF COOLIDGE PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1326867904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENTCARE OF COOLIDGE PLLC

Provider Business Mailing Address
First Line	:	171 W CENTRAL AVE
Second Line	:
City	:	COOLIDGE
State	:	AZ
Zip	:	85128-4405
Country	:	US
Telephone Number	:	520-660-6765
Fax Number	:	520-280-0640

Provider Business Practice Location Address
First Line	:	153 W CENTRAL AVE
Second Line	:
City	:	COOLIDGE
State	:	AZ
Zip	:	85128-4405
Country	:	US
Telephone Number	:	520-660-6765
Fax Number	:	520-280-0640

Authorized Official
Title or Position	:	OWNER
Name	:	CHETAN SHAILESHKUMAR PATEL
Credential	:	NP
Telephone Number	:	520-723-7726

Provider Enumeration Date	:	10/09/2024
Last Update Date	:	03/04/2026

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