Provider Demographics
NPI:1528205689
Name:QUALITY CARE FIRST ASSIST INC
Entity Type:Organization
Organization Name:QUALITY CARE FIRST ASSIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:480-279-9899
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-1588
Mailing Address - Country:US
Mailing Address - Phone:480-545-2610
Mailing Address - Fax:480-545-2673
Practice Address - Street 1:1325 N FIESTA BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-1609
Practice Address - Country:US
Practice Address - Phone:480-545-2610
Practice Address - Fax:480-545-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN097766208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty