QUINCY PHYSICIANS & SURGEONS CLINIC, SC (NPI# 1083867279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083867279 |
| Entity Type | Organization |
| Organization Name | QUINCY PHYSICIANS & SURGEONS CLINIC, SC |
| Other Organization Name | QUINCY MEDICAL GROUP |
| Practice Address |
1073 W Washington St Pittsfield IL 62363-1666 |
| Mailing Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 2172859661 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |
| Authorized Official Name | DAN EVANS (CEO) |
| Authorized Official Telephone | 2172226550 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUINCY PHYSICIANS & SURGEONS CLINIC, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Quincy Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1144462490 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1000 Central Street, Labelle, MO 63447 | 2009-04-01 |
| 1467426585 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 405 E State, Pleasant Hill, IL 62366-0427 | 2006-02-15 |
| 1356315899 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 320 North Madison, Pittsfield, IL 62363-1412 | 2006-02-13 |
| 1902870439 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1100 E Outer Rd S Ste 4, Canton, MO 63435-1702 | 2006-02-13 |
| 1639711120 | Quincy Physicians & Surgeons Clinic, Sc | Clinical Medical Laboratory | 320 N Madison St, Pittsfield, IL 62363-1412 | 2019-10-16 |
| 1215497730 | Quincy Physicians & Surgeons Clinic, Sc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1025 Maine St, Quincy, IL 62301-4096 | 2019-03-21 |
| 1508356098 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1603 Morgan St Ste 3, Keokuk, IA 52632-3433 | 2018-05-10 |
| 1790158087 | Quincy Physicians & Surgeons Clinic, Sc | Durable Medical Equipment & Medical Supplies | 100 Medical Dr, Hannibal, MO 63401-6877 | 2015-11-09 |
| Street Address |
1073 W WASHINGTON ST |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088776 | Ronald L Johnson | Clinic/Center | 1073 W Washington St, Pittsfield, IL 62363-1666 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538685748 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 180 Elm St Ste J, Pittsfield, MA 01201-6500 | 2017-08-18 |
| 1437673159 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 506 Somerset Ave, Pittsfield, ME 04967-5763 | 2017-08-03 |
| 1154657104 | C Carlo Hair Express | Durable Medical Equipment & Medical Supplies | 1551 East Street, Pittsfield, MA 01201 | 2009-10-27 |
| 1861519555 | Berkshire Communicators, Inc | Durable Medical Equipment & Medical Supplies | 551 Fenn St, Pittsfield, MA 01201-5229 | 2007-03-26 |
| 1326191859 | Lymphedema Assoc of Maine | Durable Medical Equipment & Medical Supplies | 715 Higgins Road, Pittsfield, ME 04967-0522 | 2007-01-19 |
| 1851459465 | Waltz Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 166 North Main Street, Pittsfield, ME 04967 | 2006-12-05 |
| 1538230487 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 506 Somerset Avenue, Somerset Plaza, Pittsfield, ME 04967-5763 | 2006-11-13 |
| 1811071434 | Independent Mobility | Durable Medical Equipment & Medical Supplies | 453 North St, Pittsfield, MA 01201-4603 | 2006-10-24 |
| 1083714422 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 180 Elm Street, Pittsfield, MA 01201-6500 | 2006-09-25 |
| 1548360985 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 163 South Street, Pittsfield, MA 01201-6988 | 2006-09-25 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
Please comment or provide details below to improve the information on QUINCY PHYSICIANS & SURGEONS CLINIC, SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.