Provider Demographics
NPI:1104861251
Name:QUICKCLINIC, LLC
Entity type:Organization
Organization Name:QUICKCLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:V
Authorized Official - Last Name:BUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3306-650-0010
Mailing Address - Street 1:2009 SMITH RD
Mailing Address - Street 2:350
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5015
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1323 COPLEY RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2653
Practice Address - Country:US
Practice Address - Phone:330-873-1505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2604355Medicaid
OHY27722Medicare UPIN
OHQU9351892Medicare ID - Type Unspecified