AZTEC URGENT CARE, LLC
NPI 1063741163
Clinic/Center - Urgent Care in Aztec, NM
About Aztec Urgent Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZTEC URGENT CARE, LLC (NPI 1063741163), doing business as Four Corners Urgent Care, Llc, is a healthcare organization registered as an urgent care in Aztec, New Mexico and active in the NPI registry since December 2009. The organization holds a CLIA Certificate of Compliance certificate valid through January 5, 2028, maintains 2 additional practice locations, and lists Bryan Vincent, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aztec Urgent Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Aztec Urgent Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Shiprock, NM 87420
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 32D2011233
Aztec Urgent Care, Dba Four Corners Urgent Care · Aztec, NMFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Aztec Urgent Care, LLC's NPI number?
The NPI number for Aztec Urgent Care, LLC is 1063741163. It was assigned to this organization in the NPPES registry on December 18, 2009. The provider is doing business as Four Corners Urgent Care, LLC.
Where is Aztec Urgent Care, LLC located?
Aztec Urgent Care, LLC is located at 422 N Main Ave, Aztec, NM 87410. The listed phone number is (970) 505-2100.
What is Aztec Urgent Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Aztec Urgent Care, LLC enrolled in Medicare?
Yes. Aztec Urgent Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aztec Urgent Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Aztec Urgent Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10) and Emergency Medicine (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Aztec Urgent Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 32D2011233) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Aztec Urgent Care, LLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Aztec Urgent Care, Llc · NPI 1063741163
Urgent Care organization in Aztec, New Mexico. Organization record, active in the CMS NPPES registry since December 18, 2009.
## Identity
- **NPI:** 1063741163 (Entity type: Organization)
- **Enumerated:** December 18, 2009
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Also known as:** Four Corners Urgent Care, LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Bryan Vincent, PRESIDENT
## Practice location
- **Address:** 422 N MAIN AVE, Aztec, NM 87410-1928
- **Phone:** (970) 505-2100 · **Fax:** (505) 334-7759
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Emergency Medicine (3); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
- **Other identifiers:** Medicaid 69824762 (NM)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063741163) · Data from the CMS NPPES public registry.