Organization Name: | STRIPES URGENT CARE, LLC |
NPI Number: | 1639538846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHIKWENDU C NWOSU (OWNER) |
Mailing Address: | 6820 S Kings Ranch Rd Suite 130 Gold Canyon |
State: | AZ US |
Postal Code: | 851182935 |
Phone Number: | 4802463411 |
Fax Number: | 4809845447 |
NPI Enumeration Date: | 02/16/2016 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |