Organization Active NPI

Quick Care Clinic PLLC

  • Clinic/Center
  • Sedro Woolley, WA
National Provider Identifier
1952553919
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6026297777 Issued in WA
Legal business name
QUICK CARE CLINIC PLLC
Practice address
204 W State St
Sedro Woolley, WA 98284-1553
Phone
(360) 856-5900
Fax
(360) 899-5916
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Robyn Margot Choffel, ARNP
Title
Member
Phone
(360) 856-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6026297777 WA Primary

Addresses

Primary practice location

204 W State St
Sedro Woolley, WA 98284-1553

Mailing address

204 W State St
Sedro Woolley, WA 98284-1553
Phone (360) 856-5900

Other identifiers 1

IdentifierTypeStateIssuer
9642059MedicaidWA

National Provider Directory

National Provider Directory

Locations

204 W State St
Sedro Woolley, WA 98284
Phone (360) 856-5900

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1952553919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W STATE ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841553",
            "telephone_number": "360-856-5900",
            "fax_number": "360-899-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W STATE ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841553",
            "telephone_number": "360-856-5900",
            "fax_number": "360-899-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "CHOFFEL",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "MARGOT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-856-5900",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "6026297777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9642059",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.