AWAY CLINIC LLC
NPI 1104559376
Clinic/Center in Chandler, AZ

Q: What is Away Clinic LLC's NPI number?

The NPI number for Away Clinic LLC is 1104559376. It was assigned to this organization in the NPPES registry on July 6, 2022.

Q: What is Away Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Away Clinic LLC was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 06, 2022

2201 W FAIRVIEW ST STE 1, CHANDLER, AZ 85224(480) 712-8865 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2022, Jul 6, 2022 (2 updates tracked since 2022).

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About Away Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AWAY CLINIC LLC (NPI 1104559376) is a healthcare organization registered as a clinic/center in Chandler, Arizona and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Mesa and lists Paige Ellsworth, Operations Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104559376

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameAWAY CLINIC LLC

Location Address2201 W FAIRVIEW ST STE 1Chandler, AZ 85224-4712

Mailing Address2201 W Fairview St Ste 1Chandler, AZ 85224-4712

Phone(480) 712-8865

Organization SubpartNo

Authorized OfficialPaige EllsworthOperations Coordinator · (480) 712-8865

Enumeration DateJuly 6, 2022

Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1104559376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2201 W FAIRVIEW ST STE 1, Chandler, AZ 85224

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Secondary Practice Location 1

Location 13308 N Higley Rd Ste 103Mesa, AZ 85215-9781 · Phone (480) 712-8865

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC L GEE D.P.T

Physical Therapist