Blue Hills Quick Care LLC

Key facts

NPI

1912437211

Entity type

Organization (NPI type 2)

Primary specialty

Health Service Clinic/Center 261QH0100X

Legal business name

BLUE HILLS QUICK CARE LLC

Practice address

151 N White Mountain Rd Ste E
Show Low, AZ 85901

Phone

(480) 886-4466

NPI assigned

Jun 19, 2017

Organization subpart

No

Authorized official

Name

Holly Engelman, FNP NPI 1346790748

Title

Owner/FNP

Phone

(480) 886-4466

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Engelman, NP Family Nurse Practitioner · Prescott Valley, AZ · NPI 1346790748
  NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2018.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1912437211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 W IRVINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850869110",
            "telephone_number": "480-886-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N WHITE MOUNTAIN RD STE E",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "85901",
            "telephone_number": "480-886-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILLS QUICK CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "ENGELMAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/FNP",
        "authorized_official_telephone_number": "480-886-4466",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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