Provider Demographics
NPI:1184970162
Name:QUICK CARE MEDICAL FAMILY MEDICINE
Entity type:Organization
Organization Name:QUICK CARE MEDICAL FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LAMBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:STIERS
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
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:69361-4303
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:69361-4303
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:2012-07-27
Last Update Date:2012-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1332363AM0700X
NE1551363AM0700X
NE688363AM0700X
NE110177363LF0000X
NE110254363LF0000X
NE111373363LF0000X
NE386363AM0700X
NENE11305207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty