Provider Demographics
NPI:1477570281
Name:QUICK CARE MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:QUICK CARE MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAMBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:STIERS
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:308-630-0800
Mailing Address - Street 1:3210 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-4336
Mailing Address - Country:US
Mailing Address - Phone:308-630-0800
Mailing Address - Fax:308-630-0842
Practice Address - Street 1:3210 AVENUE B
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-4336
Practice Address - Country:US
Practice Address - Phone:308-630-0800
Practice Address - Fax:308-630-0842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17710261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEE43010Medicare UPIN