Organization Name: | QUALITY PRIMARY CARE CORPORATION |
NPI Number: | 1043485808 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD L KENDALL (PRESIDENT) |
Mailing Address: | 135 W Perry St Port Clinton |
State: | OH US |
Postal Code: | 434521010 |
Phone Number: | 4197327800 |
Fax Number: | 4197974843 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 12/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |