Organization Active NPI

Quick Care Clinic

  • Preferred Provider Organization
  • Springdale, AR
National Provider Identifier
1114107000
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
N8070 Issued in AR
Legal business name
QUICK CARE CLINIC
Practice address
155 E Fantinel Blvd
Springdale, AR 72762-9248
Phone
(479) 306-4300
NPI assigned
Nov 7, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Rebecca Lewis
Title
Owner
Phone
(479) 306-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X N8070 AR Primary

Addresses

Primary practice location

155 E Fantinel Blvd
Springdale, AR 72762-9248

Mailing address

155 E Fantinel Blvd
Springdale, AR 72762-9248

National Provider Directory

National Provider Directory

Locations

155 E Fantinel Dr
Tontitown, AR 72762
Phone (479) 306-4300

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1114107000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E FANTINEL BLVD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727629248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E FANTINEL BLVD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727629248",
            "telephone_number": "479-306-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-306-4300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AR",
            "license": "N8070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.