Organization Active NPI

Quick Care Medical Clinic

  • Clinic/Center
  • Burlington, WA
National Provider Identifier
1881021699
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AP30003913 Issued in WA
Legal business name
QUICK CARE MEDICAL CLINIC
Practice address
735 S Burlington Blvd
Burlington, WA 98233-2211
Phone
(360) 707-5902
Fax
(360) 899-5916
NPI assigned
Oct 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Robyn Choffel
Title
Owner
Phone
(360) 982-0709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AP30003913 WA Primary

Addresses

Primary practice location

735 S Burlington Blvd
Burlington, WA 98233-2211

Mailing address

735 S Burlington Blvd
Burlington, WA 98233-2211
Phone (360) 707-5902

Other identifiers 3

IdentifierTypeStateIssuer
1174723068OtherINDIVIDUAL NPI
MCG8894346OtherWAMEDICARE ASSIGNED GROUP NUMBER
MCG8894347OtherWAMEDICARE ASSIGNED INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1881021699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332211",
            "telephone_number": "360-707-5902",
            "fax_number": "360-899-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332211",
            "telephone_number": "360-707-5902",
            "fax_number": "360-899-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "CHOFFEL",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-982-0709"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "AP30003913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1174723068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ASSIGNED GROUP NUMBER",
            "identifier": "MCG8894346",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ASSIGNED INDIVIDUAL NUMBER",
            "identifier": "MCG8894347",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.