Organization Name: | MEDIQUICK CLINICS OF KANSAS, LLC |
NPI Number: | 1316373897 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THEODORE J FELTS (OWNER) |
Mailing Address: | 1262 W Amity St Louisburg |
State: | KS US |
Postal Code: | 660537815 |
Phone Number: | 9138372500 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2013 |
NPI Last Update Date: | 01/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 04-26778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |