Prescott Quick Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP7995 Issued in AZ

Legal business name

PRESCOTT QUICK CARE LLC

Practice address

3075 N Windsong Dr Ste a
Prescott Valley, AZ 86314

Phone

(928) 350-8780

Fax

(888) 674-1228

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Thomas E Walls, FNP-C

Title

Owner

Phone

(928) 350-8780

Specialties & licenses 2

Addresses

Other names 1

• Family First Convenient Care Doing business as

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1447769278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141208",
            "telephone_number": "928-350-8780",
            "fax_number": "888-674-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-350-8780",
            "fax_number": "888-674-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT QUICK CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-350-8780",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP9827",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "AP7995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Dusteen Powers, SLP-A
• Prairie View Creations LLC
• Beatrice H Preciado, OTRL
• Premier Foot and Ankle, L.L.C.
• Prescott Mobile Physical Therapy and Wellness LLC
• Prescott Valley Accident Chiropractic Inc
• Prescott Valley Charter School
• Prescott Valley Chiropractic LLC
• Prescott Valley Dental Group, LLP
• Prescott Valley Disc and Spine Center

• Primary Care Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.