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QUINCY PHYSICIANS & SURGEONS CLINIC PLLC NPI 1508356098


NPI Information

NPI: 1508356098
Provider Name: QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC

Other Name: QUINCY MEDICAL GROUP KEOKUK AFFILIATE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D2214291

Address:
1603 MORGAN ST STE 3
KEOKUK, IA
ZIP 52632
Phone: (319) 524-4300
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QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC is a rural health clinic center in Keokuk, IA. QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC NPI is 1508356098. The provider is registered as an organization entity type.
The provider Other Name Is Quincy Medical Group Keokuk Affiliate.

The provider's business location address is:

1603 MORGAN ST STE 3
KEOKUK, IA
ZIP 52632-433
Phone: (319) 524-4300
Fax: (319) 524-4424

The provider's authorized official is Patty Woerman .
The authorized official title is Credentialing Specialist and has the following contact phone number (217) 222-6550.

The CLIA number assigned to this NPI record is 14D2214291 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 12/20/2021.


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
1261QR1300XClinic/CenterRural HealthYes

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: 4/28/2024

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.