Provider Demographics
NPI:1205149747
Name:QUICK ACCES URGENT CARE PC
Entity type:Organization
Organization Name:QUICK ACCES URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:517-327-5111
Mailing Address - Street 1:740 N WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-2268
Mailing Address - Country:US
Mailing Address - Phone:517-327-5111
Mailing Address - Fax:517-327-9597
Practice Address - Street 1:740 N WAVERLY RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2268
Practice Address - Country:US
Practice Address - Phone:517-327-5111
Practice Address - Fax:517-327-9597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care