Organization
SAN LUIS WALK-IN CLINIC, INC.
Active
Parent organization
SAN LUIS WALK-IN CLINIC, INC.
Other names
SAN LUIS URGENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN LUIS WALK-IN CLINIC, INC.
Authorized official
AMANDA AGUIRRE RD (PRESIDENT & CEO)
(928) 315-7910
Entity
Organization
Contact information
Practice address
1233 N MAIN ST STE 1A, SAN LUIS, AZ 85336-0663
(928) 550-5514
(928) 550-5160
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OTC7730
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439088
—
AZ
01
—
OTC7730
ADHS LICENSE
AZ
Enumeration date
02/29/2016
Last updated
09/07/2023
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