Provider Demographics
NPI:1437384260
Name:QUALITY URGENT CARE
Entity Type:Organization
Organization Name:QUALITY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:308-345-8860
Mailing Address - Street 1:3 BISON HOLIDAY DRIVE
Mailing Address - Street 2:PO BOX 788
Mailing Address - City:MCCOOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-2824
Mailing Address - Country:US
Mailing Address - Phone:308-340-9190
Mailing Address - Fax:308-345-5055
Practice Address - Street 1:3 BISON HOLIDAY DRIVE
Practice Address - Street 2:
Practice Address - City:MCCOOK
Practice Address - State:NE
Practice Address - Zip Code:69001-2824
Practice Address - Country:US
Practice Address - Phone:308-345-8860
Practice Address - Fax:308-345-5055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE507113402Medicaid
NE279401Medicare PIN
NE507113402Medicaid