Provider Demographics
NPI:1013493758
Name:QUALCARE, INC.
Entity Type:Organization
Organization Name:QUALCARE, INC.
Other - Org Name:QUALCARE WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-323-8477
Mailing Address - Street 1:5080 CALIFORNIA AVE STE 415
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1994
Mailing Address - Country:US
Mailing Address - Phone:661-371-2790
Mailing Address - Fax:661-371-3498
Practice Address - Street 1:3008 SILLECT AVE STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6360
Practice Address - Country:US
Practice Address - Phone:661-371-2790
Practice Address - Fax:661-371-3498
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALCARE , INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-16
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty