Provider Demographics
NPI:1639252489
Name:QUICK CARE OF RUSTON, L.L.C.
Entity Type:Organization
Organization Name:QUICK CARE OF RUSTON, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATERFIEL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:318-255-3762
Mailing Address - Street 1:PO BOX 1381
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71273-1381
Mailing Address - Country:US
Mailing Address - Phone:318-255-0161
Mailing Address - Fax:318-255-8820
Practice Address - Street 1:1929 FARMERVILLE HWY
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270
Practice Address - Country:US
Practice Address - Phone:318-255-3762
Practice Address - Fax:318-255-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020374174400000X
LA06019R174400000X
LAAP03105174400000X
LAAP03480174400000X
LAAP04283174400000X
LAAP04762174400000X
LAAP03197174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5M793Medicare ID - Type UnspecifiedSTEVEN BRAZEEL, M.D.
LA4H613Medicare ID - Type UnspecifiedKIMBERLY HAWKINS, FNP
LA5X675Medicare ID - Type UnspecifiedRHONDA HENSLEY, FNP
LA5X454Medicare ID - Type UnspecifiedDONNA SATERFIEL, FNP
LA4H170Medicare ID - Type UnspecifiedWANDA OVITT, FNP
LA5N099Medicare ID - Type UnspecifiedSHAUN L. MCINTIRE, M.D.
LA5P012Medicare ID - Type UnspecifiedDOUG COUNCIL, FNP
LA4H543Medicare ID - Type UnspecifiedAUDREY WALTON, FNP