SAN LUIS WALK-IN CLINIC, INC. (NPI# 1316568595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316568595 |
Entity Type | Organization |
Organization Name | SAN LUIS WALK-IN CLINIC, INC. |
Other Organization Name | PARKER WALK IN CLINIC |
Practice Address |
601 W Riverside Dr Ste 2 Parker AZ 85344-5119 |
Mailing Address |
Po Box 617 Somerton AZ 85350-0617 |
Practice Telephone | 9282564110 |
Practice Fax Number | 9282564112 |
Mailing Telephone | 9283157910 |
Mailing Fax Number | 9287226113 |
Enumeration Date | 2020-04-29 |
Last Update Date | 2020-05-01 |
Authorized Official Name | AMANDA AGUIRRE (PRESIDENT & CEO) |
Authorized Official Telephone | 9283157910 |
Authorized Official Credential | RD |
Is Organization Subpart | Y |
Parent Organization Name | SAN LUIS WALK-IN CLINIC, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
PARKER WALK IN CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316552516 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 2, San Luis, AZ 85336-0756 | 2020-09-14 |
1447865654 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 3, San Luis, AZ 85336-0756 | 2020-09-14 |
1457966657 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 5, San Luis, AZ 85336-0756 | 2020-09-14 |
1083229843 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 7, San Luis, AZ 85336-0756 | 2020-09-09 |
1114549987 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 6, San Luis, AZ 85336-0756 | 2020-05-14 |
1144680455 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 1233 N Main St Ste 1a, San Luis, AZ 85336-0663 | 2016-02-29 |
1841838034 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 601 W Riverside Dr Ste 4, Parker, AZ 85344-5119 | 2019-12-18 |
1336677426 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2017-06-01 |
1104228337 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 1896 E Babbit Ln, San Luis, AZ 85336-7820 | 2014-09-18 |
1972891349 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 214 W Main St, Somerton, AZ 85350-6329 | 2011-07-19 |
Street Address |
601 W RIVERSIDE DR STE 2 |
City | PARKER |
State | AZ |
Zip Code | 85344-5119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720551732 | Jennifer Martina Landrum | Nurse Practitioner | 601 W Riverside Dr Ste 2, Parker, AZ 85344-5119 | 2019-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
Find all providers in zip 85344 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720433832 | Parker Medical Center, Ltd | Clinic/Center | 905 S Fiesta Ave, Parker, AZ 85344-5152 | 2016-04-26 |
1619925450 | Pioneer Memorial Hospital & Health Services | Clinic/Center | 100 E Sanborn St, Parker, SD 57053 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316552516 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 2, San Luis, AZ 85336-0756 | 2020-09-14 |
1447865654 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 3, San Luis, AZ 85336-0756 | 2020-09-14 |
1457966657 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 5, San Luis, AZ 85336-0756 | 2020-09-14 |
1992321723 | Ponderosa Family Care, LLC | Clinic/Center | 127 E Main St Ste D, Payson, AZ 85541-5646 | 2020-06-17 |
1770097123 | Community Hospital Association, Inc. | Clinic/Center | 32919 N Center St Ste B, Wittmann, AZ 85361-9433 | 2017-11-21 |
1386904019 | Mz Trans | Clinic/Center | 8603 N 22nd Ave Apt 134, Phoenix, AZ 85021 | 2012-05-29 |
1497021844 | Cobre Valley Regional Medical Center | Clinic/Center | 124 N Tewskbury Blvd, Young, AZ 85554-0000 | 2012-03-30 |
1609144393 | Community Hospital Association, Inc. | Clinic/Center | 26750 S. Santa Fe Road, Suite B, Congress, AZ 85332 | 2011-12-08 |
1285869883 | Rchp-sierra Vista Inc | Clinic/Center | 1101 N San Antonio Ave, Douglas, AZ 85607-2419 | 2009-05-27 |
1467695296 | Community Bridges, Inc | Clinic/Center | 995 Hermosa Drive, Holbrook, AZ 86025 | 2009-04-09 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.