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Contact Information

FASTRAX URGENT CARE
2002 STOCKTON HILL RD
STE
KINGMAN, AZ86401-4698
 Phone: 928-753-3303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for FASTRAX URGENT CARE

NPI Number 1861646432
LBN Legal business name FASTRAX URGENT CARE
Authorized official DONOVAN SCHMIDT - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2008
Last updated 11/10/2008 - About 18 years ago
Identifiers
AZ License # OTC3597
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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