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Organization
ELITE URGENT CARE CORP
Active
Organization
ELITE URGENT CARE CORP
Active
Other names
Elite Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROD K. GHANI (PRESIDENT)
(614) 264-6567
Entity
Organization
Contact information
Practice address
652 E WARNER RD, SUITE 107, GILBERT, AZ 85296-3071
(480) 892-5555
(480) 545-3188
Mailing address
PO BOX 1506, MESA, AZ 85211-1506
(480) 844-8588
(480) 844-8715
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
14522
AZ
261QU0200X
Urgent Care Clinic/Center
Primary
OTC4649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406581
AHCCCS
AZ
Enumeration date
01/14/2009
Last updated
07/31/2009
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