QUEST PRIMARY CARE LLC NPI 1588057533

NPI Information

NPI: 1588057533
Provider Name: QUEST PRIMARY CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1176 E HOME RD
SPRINGFIELD, OH
ZIP 45503
Phone: (937) 342-9861
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QUEST PRIMARY CARE LLC is a primary care clinic center in Springfield, OH. QUEST PRIMARY CARE LLC NPI is 1588057533. The provider is registered as an organization entity type.

The provider's business location address is:

1176 E HOME RD
SPRINGFIELD, OH
ZIP 45503-726
Phone: (937) 342-9861
Fax: (937) 390-7146

The provider's authorized official is Evan Erickson .
The authorized official title is Owner/partner and has the following contact phone number (937) 342-9861.

The enumeration date for this NPI number is 3/16/2015 and was last updated on 3/3/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0135772	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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