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Contact Information

QUICK MED CENTER LLC
5104 N 67TH AVE
GLENDALE, AZ85301
 Phone: 602-899-4404
 Fax: 602-899-4408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urgent Care

261QU0200X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for QUICK MED CENTER LLC

NPI Number 1912379090
LBN Legal business name QUICK MED CENTER LLC
Authorized official KISHLAY ANAND - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2015
Last updated 09/18/2020 - About 6 years ago
Identifiers
AZ License # OTC7463
AZ Medicaid 116132
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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