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Quickcare At Brenneman INC

Clinic/Center, Primary Care in Suffolk, VA. Organization (NPI-2).

NPI number1124771068
StatusActive
Last updated in NPPESFeb 1, 2022

Details

NPI
1124771068
Entity type
Organization (NPI-2)
Legal business name
Quickcare At Brenneman INC
Organization subpart
No
Enumeration date
Feb 1, 2022
Certification date
Feb 1, 2022
Last updated
Feb 1, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Other names

  • American Family Care (Doing Business As)

Practice location

1013 University Blvd Ste 270
Suffolk, VA 23435-3900

Phone 757-335-4755 · Fax 757-335-4655

Mailing address

Po Box 5943
Virginia Beach, VA 23471-0943

Authorized official

Clarence Clarke
Owner
7573354755

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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