Provider Demographics
NPI:1053629501
Name:QUICK CARE LLC
Entity Type:Organization
Organization Name:QUICK CARE LLC
Other - Org Name:QUICK CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:HADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-647-8366
Mailing Address - Street 1:4201 CENTRAL AVE NW
Mailing Address - Street 2:SUITE K3
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87105-1630
Mailing Address - Country:US
Mailing Address - Phone:505-369-1239
Mailing Address - Fax:505-369-1237
Practice Address - Street 1:850 N MOTEL BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-8159
Practice Address - Country:US
Practice Address - Phone:575-647-8366
Practice Address - Fax:575-647-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care