Organization
QUALITY PRIMARY CARE CORPORATION
Active
Other names
Fastrack Urgent Care Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L KENDALL MD (PRESIDENT)
(419) 732-7800
Entity
Organization
Contact information
Practice address
135 W PERRY ST, PORT CLINTON, OH 43452-1010
(419) 732-7800
(419) 797-4843
Mailing address
135 W PERRY ST, PORT CLINTON, OH 43452-1010
(419) 732-7800
(419) 797-4843
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002026190
DUNS NUMBER
—
05
—
2847727
—
OH
01
—
9375701
MEDICARE PTAN (PART B - PTAN)
OH
Enumeration date
04/23/2008
Last updated
12/14/2012
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