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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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