QUINCY PHYSICIANS & SURGEONS CLINIC, SC (NPI# 1114105749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114105749 |
Entity Type | Organization |
Organization Name | QUINCY PHYSICIANS & SURGEONS CLINIC, SC |
Other Organization Name | QUINCY MEDICAL GROUP |
Practice Address |
231 W Cherry St Winchester IL 62694-1027 |
Practice Telephone | 2177423117 |
Mailing Telephone | 2177423117 |
Enumeration Date | 2008-02-06 |
Last Update Date | 2008-02-06 |
Authorized Official Name | DR. DAN EVANS (CHAIRMAN, BOARD OF DIRECTORS) |
Authorized Official Telephone | 2172226550 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | QUINCY PHYSICIANS & SURGEONS CLINIC, SC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
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 |
231 W CHERRY ST |
City | WINCHESTER |
State | IL |
Zip Code | 62694-1027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629078688 | Ronald L Johnson | Clinic/Center | 231 W Cherry St, Winchester, IL 62694-1027 | 2005-07-29 |
1558515551 | Quincy Physicians & Surgeons Clinic, Sc | Durable Medical Equipment & Medical Supplies | 231 W Cherry St, Winchester, IL 62694-1027 | 2008-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568463677 | Danita J Ray | Physician Assistant | 231 Cherry Street, Winchester, IL 62694 | 2005-08-10 |
1619092392 | Scott County Chiropractic | Chiropractor | 38 E Cherry St, Winchester, IL 62694-1002 | 2007-03-20 |
1730361288 | Scott County Chiropractic, Ltd. | Chiropractor | 38 E Cherry St, Winchester, IL 62694-1002 | 2007-11-27 |
1124171491 | County of Scott | Public Health or Welfare | 335 W Cherry St, Winchester, IL 62694-1029 | 2007-01-19 |
1083787428 | Winchester Ems | Ambulance | 734 State Highway 106, Winchester, IL 62694-1036 | 2006-11-15 |
1699810168 | Jill Bergstrom Cox | Speech-Language Pathologist | 434 N Main St, Winchester, IL 62694-1162 | 2007-02-21 |
1821290388 | Community Unit School District #1 | Local Education Agency (LEA) | 149 S Elm St, Winchester, IL 62694-1246 | 2007-06-05 |
1265485627 | Tom Bart Welch | Dentist | 23 S Main St, Winchester, IL 62694-1249 | 2006-05-18 |
1255305223 | Karen A Hynes | Family Medicine | 39 S Main St, Winchester, IL 62694-1249 | 2006-02-15 |
1679997795 | Pharmacy Plus, Inc. | Pharmacy | 5 S Main St, Winchester, IL 62694-1249 | 2014-02-10 |
Find all providers in zip 62694 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578790713 | Spa M Medical Corporation | Clinic/Center | 32034 Blazing Star St, Winchester, CA 92596-8941 | 2009-06-15 |
1902903453 | St. Vincent Physician Network, LLC | Clinic/Center | 409 East Greenville Avenue, Winchester, IN 47394-9436 | 2006-09-19 |
1629078688 | Ronald L Johnson | Clinic/Center | 231 W Cherry St, Winchester, IL 62694-1027 | 2005-07-29 |
1962753319 | Reid Physician Associates, Inc | Clinic/Center | 400 S Oak St, Winchester, IN 47394-2225 | 2012-09-25 |
1225301740 | St. Vincent Medical Group, Inc. | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2012-02-14 |
1588966378 | Jefferson County Memorial Hospital Inc | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 2010-11-30 |
1093708612 | St Vincent Randolph Hospital | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2005-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
Find all providers with the same taxonomy |
City | WINCHESTER |
Zip Code | 62694 |
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.