# EAST VALLEY URGENT CARE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urgent Care Extra-Higley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285986075
- **Authorized official:** SANDRA GRONBERG RN (SENIOR EXECUTIVE VP OPERATIONS)
- **Authorized official phone:** (480) 840-3075

## Contact information

- **Practice address:** 1355 S HIGLEY RD, STE 104, GILBERT, AZ 85298
- **Practice address phone:** (480) 840-6600
- **Mailing address:** 3336 E CHANDLER HEIGHTS RD, STE 121, GILBERT, AZ 85298
- **Mailing address phone:** (480) 840-3075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 10/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 83288 | MEDICARE ID- TYPE UNSPECIFIED | — |