Provider Demographics
NPI:1215952114
Name:PROMPTCARE PC
Entity type:Organization
Organization Name:PROMPTCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GULYANICS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:928-704-4334
Mailing Address - Street 1:3641 HIGHWAY 95
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-8151
Mailing Address - Country:US
Mailing Address - Phone:928-704-4334
Mailing Address - Fax:928-704-4445
Practice Address - Street 1:3641 HIGHWAY 95
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-8151
Practice Address - Country:US
Practice Address - Phone:928-704-4334
Practice Address - Fax:928-704-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC2710261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care