NPI Code Detail JSON Logo

1205316577 NPI number — QUICK HEALTH PRIMARY CARE, LLC

NPI Number: 1205316577
Health Care Provider/Practitioner: QUICK HEALTH PRIMARY CARE, LLC

Information about “1205316577” NPI (QUICK HEALTH PRIMARY CARE, LLC) exists in 1205316577 in HTML format HTML  |  1205316577 in plain Text format TXT  |  1205316577 in PDF (Portable Document Format) PDF  |  1205316577 in an XML format XML  formats.

NPI Number : 1205316577 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205316577",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "QUICK HEALTH PRIMARY CARE, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2709 E 26TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIOUX FALLS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57103-4016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7600 S LOUISE AVE STE 150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SIOUX FALLS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57108-5999",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-271-7821",
    "PracticeLocationAddressFaxNumber": "605-271-3717",
    "EnumerationDate": "08/16/2018",
    "LastUpdateDate": "12/10/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PEPPER",
    "AuthorizedOfficialFirstName": "ARTHUR",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "CERTIFIED NURSE PRACTITIONER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CNP",
    "AuthorizedOfficialTelephoneNumber": "605-271-7821",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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