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Contact Information

PRESCOTT QUICK CARE LLC
3075 N WINDSONG DR STE A
PRESCOTT VALLEY, AZ86314
 Phone: 928-350-8780
 Fax: 888-674-1228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PRESCOTT QUICK CARE LLC

NPI # 1447769278
LBN Legal business name PRESCOTT QUICK CARE LLC
Authorized official THOMAS WALLS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2017
Last updated 07/31/2018 - About 8 years ago
Identifiers
AZ License # AP7995
AZ License # AP9827
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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