Healthcare Provider Details

I. General information

NPI: 1053629501
Provider Name (Legal Business Name): QUICK CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 N MOTEL BLVD
LAS CRUCES NM
88007-8159
US

IV. Provider business mailing address

4201 CENTRAL AVE NW SUITE K3
ALBUQUERQUE NM
87105-1630
US

V. Phone/Fax

Practice location:
  • Phone: 575-647-8366
  • Fax: 575-647-8381
Mailing address:
  • Phone: 505-369-1239
  • Fax: 505-369-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOHN G HADLEY
Title or Position: OWNER
Credential:
Phone: 575-647-8366