Provider Demographics
NPI:1891241584
Name:QUICKER CARE CLINIC PA
Entity Type:Organization
Organization Name:QUICKER CARE CLINIC PA
Other - Org Name:VITALMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:252-670-1325
Mailing Address - Street 1:425 HOTEL DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5318
Mailing Address - Country:US
Mailing Address - Phone:252-514-6105
Mailing Address - Fax:910-595-4051
Practice Address - Street 1:425 HOTEL DRIVE
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5318
Practice Address - Country:US
Practice Address - Phone:252-514-6105
Practice Address - Fax:910-595-4051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty