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Organization
BEST MEDICAL/URGENT CARE LLC
Active
Organization
BEST MEDICAL/URGENT CARE LLC
Active
Other names
Jesse Owens Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLENE E DANIS RN (CEO)
(602) 824-4640
Entity
Organization
Contact information
Practice address
325 E BASELINE RD, PHOENIX, AZ 85042-6510
(602) 824-4200
(602) 824-4259
Mailing address
325 E BASELINE RD, PHOENIX, AZ 85042-6510
(602) 824-4200
(602) 824-4215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29250
AZ
208000000X
Pediatrics Physician
2816
AZ
261QU0200X
Urgent Care Clinic/Center
Primary
OTC0106
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146317
—
AZ
05
—
584533
—
AZ
05
—
832205
—
AZ
01
—
AZ0206250
BLUE CROSS
AZ
01
—
AZ0852180
BLUE CROSS
AZ
01
—
P0201170
BLUE CROSS
AZ
Enumeration date
01/19/2007
Last updated
02/19/2013
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