Healthcare Provider Details

I. General information

NPI: 1679752851
Provider Name (Legal Business Name): RAPIDCARE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4622 40TH AVE S
FARGO ND
58104
US

IV. Provider business mailing address

4622 40TH AVE S
FARGO ND
58104
US

V. Phone/Fax

Practice location:
  • Phone: 701-232-6211
  • Fax: 701-364-9346
Mailing address:
  • Phone: 701-232-6211
  • Fax: 701-364-9346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7790
License Number StateND

VIII. Authorized Official

Name: ABBY LEWIS
Title or Position: CLINIC MANAGER
Credential:
Phone: 701-232-6211