| Organization Name: | APACHE JUNCTION URGENT CARE LLC |
| NPI Number: | 1053375659 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN SHUFELDT (CEO) |
| Mailing Address: | 2080 W Southern Ave Ste. 1 Apache Junction |
| State: | AZ US |
| Postal Code: | 852207455 |
| Phone Number: | 4807761588 |
| Fax Number: | 4809850173 |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 01/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | OTC3083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |