Organization Active NPI

Fastrax Urgent Care

  • Urgent Care Clinic/Center
  • Kingman, AZ
National Provider Identifier
1861646432
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC3597 Issued in AZ
Legal business name
FASTRAX URGENT CARE
Practice address
2002 Stockton Hill Rd
Ste
Kingman, AZ 86401-4698
Phone
(928) 753-3303
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Dr. Donovan Schmidt, D.O.
Title
Managing Partner
Phone
(928) 753-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OTC3597 AZ Primary

Addresses

Primary practice location

2002 Stockton Hill Rd
Ste
Kingman, AZ 86401-4698

Mailing address

2002 Stockton Hill Rd
Ste
Kingman, AZ 86401-4698
Phone (928) 753-3303

National Provider Directory

National Provider Directory

Locations

2002 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 718-4800

1739 E Beverly Ave
Ste 102
Kingman, AZ 86409
Phone (928) 681-8693

1726 E Beverly Ave
Ste A
Kingman, AZ 86409
Phone (928) 753-3303

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1861646432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 STOCKTON HILL RD",
            "address_2": "STE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014698",
            "telephone_number": "928-753-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 STOCKTON HILL RD",
            "address_2": "STE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014698",
            "telephone_number": "928-753-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTRAX URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "928-753-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.