OrganizationActive
Away Clinic LLC
NPI 1104559376 · Clinic/Center · Chandler, AZ
Away Clinic LLC is a Clinic/Center organization in Chandler, AZ (NPI 1104559376).
Provider details
- NPI number
- 1104559376
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paige Ellsworth, Operations Coordinator(480) 712-8865
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Phone: (480) 712-8865
Street-level locationGet directions
Mailing address
2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Additional practice locations (1)
- 3308 N Higley Rd Ste 103Mesa, AZ 85215-9781Phone: (480) 712-8865
Registry dates
- Enumerated
- 2022-07-06
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Frequently asked questions
- What is Away Clinic LLC's NPI number?
- Away Clinic LLC's National Provider Identifier (NPI) is 1104559376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Away Clinic LLC?
- Away Clinic LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Away Clinic LLC located?
- Away Clinic LLC's practice location on file with NPPES is 2201 W Fairview St Ste 1, Chandler, AZ 85224-4712.
- What is Away Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Away Clinic LLC is (480) 712-8865.
- Who is the authorized official for Away Clinic LLC?
- The authorized official listed on Away Clinic LLC's NPPES record is Paige Ellsworth, Operations Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Away Clinic LLC's NPI active?
- Yes — Away Clinic LLC's NPI (1104559376) is active in the NPPES registry as of the last update on 2022-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.