Provider Demographics
NPI:1417122789
Name:UNIV OF MN DULUTH QUICK CARE
Entity Type:Organization
Organization Name:UNIV OF MN DULUTH QUICK CARE
Other - Org Name:UMD QUICK CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYLEEN
Authorized Official - Middle Name:VICKI
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-726-8299
Mailing Address - Street 1:615 NIAGARA CT
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-3065
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:218-726-6132
Practice Address - Street 1:107 KIRBY STUDENT CENTER
Practice Address - Street 2:UNIV OF MN, DULUTH
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55812
Practice Address - Country:US
Practice Address - Phone:218-726-8666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF MINNESOTA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center