SAN LUIS WALK-IN CLINIC, INC. (NPI# 1336677426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336677426 |
| Entity Type | Organization |
| Organization Name | SAN LUIS WALK-IN CLINIC, INC. |
| Practice Address |
950 E Main St Bldg B Somerton AZ 85350-7409 |
| Mailing Address |
Po Box 617 Somerton AZ 85350-0617 |
| Practice Telephone | 9282368001 |
| Practice Fax Number | 9287226113 |
| Mailing Telephone | 9283157910 |
| Mailing Fax Number | 9287226113 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | AMANDA AGUIRRE (PRESIDENT & CEO) |
| Authorized Official Telephone | 9283157910 |
| Authorized Official Credential | R.D. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 329106 | 05 | |
| AZ | ADHS LICENSE | OTC8479 | 01 |
| 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 |
| 1316568595 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 601 W Riverside Dr Ste 2, Parker, AZ 85344-5119 | 2020-04-29 |
| 1841838034 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 601 W Riverside Dr Ste 4, Parker, AZ 85344-5119 | 2019-12-18 |
| 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 |
950 E MAIN ST BLDG B |
| City | SOMERTON |
| State | AZ |
| Zip Code | 85350-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343871 | Gregg Steven Zankman | Pediatrics | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2005-11-14 |
| 1528691235 | Alex Valenzuela | Social Worker | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2020-02-20 |
| 1124502620 | Mckenzie Rose Ray | Dental Hygienist | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2018-09-20 |
| 1225510399 | Sharon Moreno | Dental Hygienist | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2018-09-05 |
| 1376849992 | Katarina Lea Olea | Counselor | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2011-01-28 |
| 1982825881 | Marsha Keechler | Midwife | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2007-05-01 |
| 1386795102 | Alejandrina Orpineda | Nurse Practitioner | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2007-01-16 |
| 1003991506 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2006-10-25 |
| 1861582025 | Jose C Martinez-celaya | Psychiatry & Neurology | 950 E Main St Bldg B, Somerton, AZ 85350-7409 | 2006-10-16 |
| 1154365187 | Michael Eric Stevens | Obstetrics & Gynecology | 950 E Main St Bldg B, Somerton, AZ 85350 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310312 | Jacob Richard Bromley | Student in an Organized Health Care Education/Training Program | 725 E Main St, Apt #1c, Somerton, AZ 85350 | 2020-09-11 |
| 1144859539 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 274 Avenue B Suite B, Somerton, AZ 85350 | 2020-04-07 |
| 1932755840 | Nohemi Azucena Ramirez | Specialist/Technologist | 215 N. Carlisle Ave., Somerton, AZ 85350 | 2019-08-15 |
| 1285164244 | Alexandra Pierre-bez | Dentist | 115 North Somerton Ave, Somerton, AZ 85350 | 2017-06-13 |
| 1427402965 | Saguaro Foundation Community Living Programs | Community Based Residential Treatment Facility, Mental Illness | 726 W. Jackson Street, Somerton, AZ 85350 | 2016-04-21 |
| 1619346905 | Katya Madrid | Specialist/Technologist | 806 E Ramona St, Somerton, AZ 85350 | 2015-09-17 |
| 1972999605 | Portable Practical Education Preparation, Inc. | Clinic/Center | 201 S. Bingham Avenue, Somerton, AZ 85350 | 2015-04-09 |
| 1659765329 | City of Somerton | Ambulance | 445 E Main St., Somerton, AZ 85350 | 2015-03-20 |
| 1437307196 | Patricia A. Parks | Physical Therapist | 215 N Carlisle Ave, Somerton, AZ 85350 | 2008-09-05 |
| 1639336936 | Brenda Valenzuela | Counselor | 215 N. Carlisle Ave, Somerton, AZ 85350 | 2008-05-22 |
| Find all providers in zip 85350 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 1720433832 | Parker Medical Center, Ltd | Clinic/Center | 905 S Fiesta Ave, Parker, AZ 85344-5152 | 2016-04-26 |
| 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 |
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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.