MED 97 LLC (NPI# 1487631883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487631883 |
| Entity Type | Organization |
| Organization Name | MED 97 LLC |
| Other Organization Name | ADVANCED URGENT CARE |
| Practice Address |
8260 W Indian School Rd Ste 1 & 2 Phoenix AZ 85033 |
| Mailing Address |
Po Box 32950 Phoenix AZ 85064 |
| Practice Telephone | 6238467122 |
| Practice Fax Number | 6238467027 |
| Mailing Telephone | 6024331822 |
| Mailing Fax Number | 6022467060 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | RENEE L BISKUPSKI (VP OF OPERATIONS) |
| Authorized Official Telephone | 6024331822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OTC2677 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 630667 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Urgent Care | Doing Business As Name - Organization |
| Street Address |
8260 W INDIAN SCHOOL RD STE 1 & 2 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679990212 | Tri-city Express Care, Pllc | Clinic/Center | 8260 W Indian School Rd, Suite 1, Phoenix, AZ 85033-2980 | 2014-03-20 |
| 1962565549 | Barbara Jean Benson | Nurse Practitioner | 8260 W Indian School Rd, #4, Phoenix, AZ 85033-2980 | 2006-12-18 |
| 1881661940 | Carlos Moe | Family Medicine | 8260 W Indian School Rd, Ste 1 and 2, Phoenix, AZ 85033 | 2006-03-07 |
| 1871567461 | Marvin T Racowsky | Physician Assistant | 8260 W Indian School Rd, Phoenix, AZ 85033 | 2006-02-13 |
| 1750354981 | Bellene E Racowsky | Physician Assistant | 8260 W Indian School Rd, Suite 1 and 2, Phoenix, AZ 85033-2980 | 2006-02-08 |
| 1891767133 | Darryl Joseph Mohr | Family Medicine | 8260 W Indian School Rd, 4, Phoenix, AZ 85033-2980 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
| 1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
| 1326458555 | Norman Loya | Private Vehicle | 7620 W Wolf St, Phoenix, AZ 85033 | 2014-04-28 |
| 1598188641 | Arlena Lawrence | Health Educator | 6602 W. Osborn Rd., Phoenix, AZ 85033 | 2014-01-27 |
| 1083921076 | Beth Marie Elia | Psychologist | 6601 W. Thomas Rd., Phoenix, AZ 85033 | 2010-09-12 |
| 1720317647 | Nguyen Quoc Tang | Pharmacist | 8325 W Indian Schood Rd, Phoenix, AZ 85033 | 2009-12-24 |
| 1760635775 | Sarah Bess Stauffer | Occupational Therapist | 3401 N. 67th Ave, Phoenix, AZ 85033 | 2008-11-04 |
| 1578748968 | Pain and Rehab Consultants LLC | Pain Medicine | 7400 W Indian School Rd, 114, Phoenix, AZ 85033 | 2008-01-03 |
| 1902023930 | Smile Dental Group | Dentist | 6524 W Indian School Road, Suite A, Phoenix, AZ 85033 | 2007-04-19 |
| 1801955067 | Reva Mae Mckenzie | Technician | 4615 No 82nd Lane, Phoenix, AZ 85033 | 2006-12-06 |
| Find all providers in zip 85033 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1366059982 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 5259 W Indian School Rd Ste 100, Phoenix, AZ 85031-2651 | 2020-09-28 |
| 1376154625 | Memd Provider Network LLC | Clinic/Center | 6910 E Chauncey Ln Ste 220, Phoenix, AZ 85054-5162 | 2020-08-11 |
| 1801431465 | Us Careways PC LLC | Clinic/Center | 3800 E Sky Harbor Blvd # L-r12, Phoenix, AZ 85034-3712 | 2019-11-07 |
| 1245886795 | Banner Urgent Care Services, LLC | Clinic/Center | 1 N Central Ave Ste 105, Phoenix, AZ 85004-4416 | 2019-08-12 |
| 1972069417 | Honorhealth Urgent Care, LLC | Clinic/Center | 1515 E Bethany Home Rd Ste 120b, Phoenix, AZ 85014-2495 | 2019-02-20 |
| 1649736380 | Honorhealth Urgent Care, LLC | Clinic/Center | 18404 N Tatum Blvd Ste 101c, Phoenix, AZ 85032-1511 | 2019-02-19 |
| 1063984680 | Banner Urgent Care Services, LLC | Clinic/Center | 1940 W Glendale Ave, Phoenix, AZ 85021-7840 | 2018-12-20 |
| 1750853388 | Banner Urgent Care Services, LLC | Clinic/Center | 3247 E Bell Rd Ste 1, Phoenix, AZ 85032-2707 | 2018-12-20 |
| Find all providers in PHOENIX | ||||
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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.