Healthcare Provider Details

I. General information

NPI: 1790831683
Provider Name (Legal Business Name): CURAQUICK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 SERGEANT RD
SIOUX CITY IA
51106-4705
US

IV. Provider business mailing address

720 W ASHCROFT ST
SIOUX FALLS SD
57108-2520
US

V. Phone/Fax

Practice location:
  • Phone: 712-276-2467
  • Fax:
Mailing address:
  • Phone: 605-336-2797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number001716
License Number StateIA

VIII. Authorized Official

Name: MARSHA K KADLECIK
Title or Position: PA-C
Credential: PA-C
Phone: 712-276-2467