NEW MED LLC


Address: 1702 17th St Nw, Store #6, Austin, MN 55912-6366
Phone: 5074400767

NEW MED LLC (NPI# 1053608976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053608976
Entity Type Organization
Organization Name NEW MED LLC
Other Organization Name QUICKCARE
Practice Address 1702 17th St Nw
Store #6
Austin
MN 55912-6366
Practice Telephone 5074400767
Mailing Telephone 5074400767
Enumeration Date 2011-06-29
Last Update Date 2011-08-08
Authorized Official Name DR. JAMES SHAFFER (OWNER/ MD)
Authorized Official Telephone 5074400767
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
32355 MN Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
QuickCare Doing Business As Name - Organization

Office Location

Street Address 1702 17TH ST NW
STORE #6
City AUSTIN
State MN
Zip Code 55912-6366

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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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Competitor

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City AUSTIN
Zip Code 55912

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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