Healthcare Provider Details
I. General information
NPI: 1033637301
Provider Name (Legal Business Name): QUICK HEALTH URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2017
Last Update Date: 09/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2709 E 26TH ST
SIOUX FALLS SD
57103-4016
US
IV. Provider business mailing address
611 W GARDEN PL
SIOUX FALLS SD
57108-4849
US
V. Phone/Fax
- Phone: 605-937-8209
- Fax: 605-370-5753
- Phone: 605-271-7821
- Fax: 605-271-3717
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATRICK
J
HEITKAMP
Title or Position: OWNER
Credential:
Phone: 605-937-8209