MEDICARE: QUICK FIC URGENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1710725650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUICK FIC URGENT CARE LLC

Provider Business Mailing Address
First Line	:	2001 REDBIRD DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6159
Country	:	US
Telephone Number	:	702-328-3189
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 LAS VEGAS BLVD S STE 2000
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-0764
Country	:	US
Telephone Number	:	702-790-0284
Fax Number	:	702-583-6250

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	RINAT ELIMELECH
Credential	:	CFO
Telephone Number	:	702-328-3189

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	07/16/2024

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