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QUAD CITIES PRIMARY CARE LLC NPI 1588332977


NPI Information

NPI: 1588332977
Provider Name: QUAD CITIES PRIMARY CARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D2236654

Address:
3385 DEXTER CT STE 105
DAVENPORT, IA
ZIP 52807
Phone: (563) 940-6604
Get Directions

QUAD CITIES PRIMARY CARE, LLC is a family medicine in Davenport, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. QUAD CITIES PRIMARY CARE, LLC NPI is 1588332977. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3385 DEXTER CT STE 105
DAVENPORT, IA
ZIP 52807-471
Phone: (563) 940-6604

The provider's authorized official is Katy Hegg .
The authorized official title is Office Manager and has the following contact phone number (563) 551-3800.

The CLIA number assigned to this NPI record is 16D2236654 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/1/2021 and was last updated on 11/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11255310744OTHERIOWANPI
21821077322OTHERIOWANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.