MEDICARE: DESERT RIDGE URGENT CARE LLC

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	261QU0200X	Urgent Care Clinic/Center	OTC3658	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DD5596	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861458309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT RIDGE URGENT CARE LLC

Provider Business Mailing Address
First Line	:	1710 THISTLE RD
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-7739
Country	:	US
Telephone Number	:	928-522-8006
Fax Number	:	928-522-8556

Provider Business Practice Location Address
First Line	:	20950 N TATUM BLVD
Second Line	:	STE. 190
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4200
Country	:	US
Telephone Number	:	480-776-1588
Fax Number	:	480-776-0026

Authorized Official
Title or Position	:	CEO
Name	:	JOHN SHUFELDT
Credential	:
Telephone Number	:	480-924-8382

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	01/29/2008

Similar Medicare Providers

1982604708 — STEVEN CARY SIMON MD
Practice Location Address:

20950 N TATUM BLVD , SUITE 308
PHOENIX, AZ
85050-4200

Practice Phone: 480-419-2280
Practice Fax: 480-419-2290

1336149533 — ALAINA JOSE-MILLER MD
Practice Location Address:

20950 N TATUM BLVD , SUITE 250
PHOENIX, AZ
85050-4200

Practice Phone: 480-607-0060
Practice Fax: 480-607-5809

1336132034 — MR. JASON W ARNETT P.A.
Practice Location Address:

20950 N TATUM BLVD , SUITE 350
PHOENIX, AZ
85050-4200

Practice Phone: 480-502-6651
Practice Fax:

1891789210 — DR. ELIZABETH JOYCE FLEMING DDS
Practice Location Address:

20950 N TATUM BLVD , STE. 280
PHOENIX, AZ
85050-4200

Practice Phone: 480-860-4300
Practice Fax: 480-419-7814

1326096256 — MR. TREIS R LUM DO
Practice Location Address:

20950 N TATUM BLVD , SUITE 190
PHOENIX, AZ
85050-4200

Practice Phone: 480-776-0022
Practice Fax:

1891711651 — MRS. KATHLYNN H HURT PA-C
Practice Location Address:

20950 N TATUM BLVD , SUITE 350
PHOENIX, AZ
85050-4200

Practice Phone: 480-502-6651
Practice Fax: 480-513-8253

Directions to “DESERT RIDGE URGENT CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.