NPIMap

Organization Active NPI

Quick Care Med, LLC

  • General Practice Physician
  • Chiefland, FL
National Provider Identifier
1447829379
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
QUICK CARE MED, LLC
Practice address
2205 N Young Blvd
Chiefland, FL 32626-1957
Phone
(352) 535-2273
Fax
(352) 614-4059
NPI assigned
Jun 24, 2021
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
QUICK CARE MED, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Dean C Major
Title
Cred Spec
Phone
(352) 634-8736

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

2205 N Young Blvd
Chiefland, FL 32626-1957

Mailing address

PO Box 2066
Lecanto, FL 34460-2066
Phone (352) 563-0931

Other identifiers 1

IdentifierTypeStateIssuer
003672418MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@quickcaremed.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120615000292 FL Part B Supplier - Clinic/Group Practice 8325202740 Receives reassigned benefits from 19 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williston, FL; Ocala, FL; Dunnellon, FL; Inverness, FL; Crystal River, FL; Chiefland, FL; Beverly Hills, FL; Homosassa, FL

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
10D2176267Quick Care Med LLC2205 N Young Blvd, Chiefland, FL 32626Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Quick Care Med7 organizations share this tax ID, including this one
Part of
Quick Care Med

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3925 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 527-7336

659 NE US Highway 19
Unit 1
Crystal River, FL 34429
Phone (352) 563-0911

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1447829379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344602066",
            "telephone_number": "352-563-0931",
            "fax_number": "352-563-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N YOUNG BLVD",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261957",
            "telephone_number": "352-535-2273",
            "fax_number": "352-614-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE MED, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUICK CARE MED, LLC",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CRED SPEC",
        "authorized_official_telephone_number": "352-634-8736"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003672418",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@quickcaremed.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2205 N Young Blvd",
            "city": "Chiefland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326261957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.