QUALITY PRIMARY CARE CORPORATION NPI 1043485808

NPI Information

QUALITY PRIMARY CARE CORPORATION is an urgent care clinic center in Port Clinton, OH. QUALITY PRIMARY CARE CORPORATION NPI is 1043485808. The provider is registered as an organization entity type.
The provider Is Doing Business As Fastrack Urgent Care Corporation.

The provider's business location address is:

135 W PERRY ST
PORT CLINTON, OH
ZIP 43452-010
Phone: (419) 732-7800
Fax: (419) 797-4843

The provider's authorized official is Richard L Kendall .
The authorized official title is President and has the following contact phone number (419) 732-7800.

The CLIA number assigned to this NPI record is 36D1049931 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 12/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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