NPIMap

Organization Active NPI

Mediquick Urgent Care Centers Inc

Doing business as MediQuick Walk In Clinic

  • Urgent Care Clinic/Center
  • Palm Coast, FL
National Provider Identifier
1053363036
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
800014401 Issued in FL
Legal business name
MEDIQUICK URGENT CARE CENTERS INC
Doing business as
MediQuick Walk In Clinic
Practice address
6 Office Park Dr
Palm Coast, FL 32137-3808
Phone
(386) 447-6615
Fax
(386) 447-1266
NPI assigned
May 17, 2006
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ann Shaw
Title
Office Manager
Phone
(386) 447-6615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 800014401 FL Primary

Addresses

Primary practice location

6 Office Park Dr
Palm Coast, FL 32137-3808

Mailing address

6 Office Park Dr
Palm Coast, FL 32137-3808
Phone (386) 447-6615

Other names 1

  • MediQuick Walk In Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040717000026 FL Part B Supplier - Clinic/Group Practice 3577542000 Receives reassigned benefits from 14 practitioners
Practice locations: Palm Coast, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0963091Mediquick Urgent Care Centers Inc6 Office Park Dr, Palm Coast, FL 32137Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory

Locations

91 Branscomb Rd
Ste 1
Green Cove Springs, FL 32043
Phone (904) 783-0008

6 Office Park Dr
Palm Coast, FL 32137
Phone (386) 445-7238

1155 W 4th St
Ste 109
Reno, NV 89503
Phone (775) 324-6006

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1053363036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373808",
            "telephone_number": "386-447-6615",
            "fax_number": "386-447-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373808",
            "telephone_number": "386-447-6615",
            "fax_number": "386-447-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUICK URGENT CARE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-447-6615"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "800014401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediQuick Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.