Healthcare Provider Details

I. General information

NPI: 1477570281
Provider Name (Legal Business Name): QUICK CARE MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 AVENUE B
SCOTTSBLUFF NE
69361-4336
US

IV. Provider business mailing address

3210 AVENUE B
SCOTTSBLUFF NE
69361-4336
US

V. Phone/Fax

Practice location:
  • Phone: 308-630-0800
  • Fax: 308-630-0842
Mailing address:
  • Phone: 308-630-0800
  • Fax: 308-630-0842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number17710
License Number StateNE

VIII. Authorized Official

Name: SUSAN MCDONALD
Title or Position: OFFICE MANAGERT
Credential:
Phone: 308-630-0800