Provider Demographics
NPI:1033637301
Name:QUICK HEALTH URGENT CARE LLC
Entity Type:Organization
Organization Name:QUICK HEALTH URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEITKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-937-8209
Mailing Address - Street 1:611 W GARDEN PL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-4849
Mailing Address - Country:US
Mailing Address - Phone:605-271-7821
Mailing Address - Fax:605-271-3717
Practice Address - Street 1:2709 E 26TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-4016
Practice Address - Country:US
Practice Address - Phone:605-937-8209
Practice Address - Fax:605-370-5753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1225586621Medicaid