Provider Demographics
NPI:1487970273
Name:ARKANSAS QUICK CARE, PA
Entity type:Organization
Organization Name:ARKANSAS QUICK CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:PEERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-241-1919
Mailing Address - Street 1:1101 N JAMES ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-3119
Mailing Address - Country:US
Mailing Address - Phone:501-241-1919
Mailing Address - Fax:
Practice Address - Street 1:1101 N JAMES ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-3119
Practice Address - Country:US
Practice Address - Phone:501-241-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-5482261QU0200X
AR208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty