Active NPI
Fastrax Urgent Care
- Urgent Care Clinic/Center
- Kingman, AZ
National Provider Identifier
1861646432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- OTC3597
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.