NPIMap

Organization Active NPI

QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Osceola, IA
National Provider Identifier
1043936735
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
QV URGENT CARE IA PLLC
Practice address
312 W McLane St
Osceola, IA 50213-1511
Phone
(641) 658-9048
NPI assigned
Oct 14, 2022
Organization subpart
Yes
Parent organization
QUICKVISIT MANAGEMENT IA, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Richard Reams Powers Jr., MDNPI 1467428680
Title
Owner
Phone
(931) 540-4210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • QV Urgent Care Ia PLLC
    • Rural Health Clinic/Center
    • Grinnell, IA
    • NPI 1053037747

    Heeschen Revocable Trust, Palmer Family Irrevocable Trust, Quickvisit Management Ia LLC, Quickvisit Management, LLC, Resolute Capital Partners Fund IV LP

    CMS ownership
  • QV Urgent Care Ia PLLC
    • Rural Health Clinic/Center
    • Fort Madison, IA
    • NPI 1114643806

    Heeschen Revocable Trust, Palmer Family Irrevocable Trust, Quickvisit Management Ia LLC, Quickvisit Management, LLC, Resolute Capital Partners Fund IV LP

    CMS ownership
  • QV Urgent Care Ia PLLC
    • Rural Health Clinic/Center
    • Washington, IA
    • NPI 1235835950

    Heeschen Revocable Trust, Palmer Family Irrevocable Trust, Quickvisit Management Ia LLC, Quickvisit Management, LLC, Resolute Capital Partners Fund IV LP

    CMS ownership
  • QV Urgent Care Ia PLLC
    • Rural Health Clinic/Center
    • Mt Pleasant, IA
    • NPI 1700502606

    Heeschen Revocable Trust, Palmer Family Irrevocable Trust, Quickvisit Management Ia LLC, Quickvisit Management, LLC, Resolute Capital Partners Fund IV LP

    CMS ownership
  • QV Urgent Care Ia, PLLC
    • Rural Health Clinic/Center
    • Newton, IA
    • NPI 1265158950

    Heeschen Revocable Trust, Palmer Family Irrevocable Trust, Quickvisit Management Ia LLC, Quickvisit Management, LLC, Resolute Capital Partners Fund IV LP

    CMS ownership

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2248119QV Urgent Care Ia PLLC312 West McLane St, Osceola, IA 50213Certificate of waiverJan 11, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Rural health clinic certification: CCN 168983

Medicare enrollment files
Legal name
QV URGENT CARE IA PLLC
Doing business as
QUICKVISIT URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 31, 2023
Last certification
Jul 31, 2023
Ownership / control type
1B
Organization structure
OtherProprietary
Incorporated
Jul 29, 2019 in IA
Enrollment address
312 W McLane St
Osceola, IA 50213-1511

All disclosed owners & managing parties 13

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stanley Bevis Individual 5% Or Greater Indirect Ownership Interest Jul 29, 2019 9.91%
Corporate DirectorBoard Member Jul 29, 2019
Palmer Family Irrevocable Trust Organization, Laguna Hills, CA 5% Or Greater Indirect Ownership Interest Jul 29, 2019 13.21%
Dustin a Greene Individual Corporate DirectorBoard Member Jul 29, 2019
W-2 Managing EmployeeCeo Jan 1, 2023
Operational/Managerial ControlCeo Jan 1, 2023
Heeschen Revocable Trust Organization, Newport Beach, CA 5% Or Greater Indirect Ownership Interest Jul 29, 2019 6.61%
Quickvisit Management, LLC Organization, Waynesboro, TN LLC 5% Or Greater Indirect Ownership Interest Jul 29, 2019 100%
Quickvisit Management Ia LLC Organization, Waynesboro, TN LLC 5% Or Greater Direct Ownership Interest Jul 29, 2019 100%
Richard Powers Individual 5% Or Greater Indirect Ownership Interest Jul 29, 2019 19.82%
Corporate DirectorBoard Member Jul 29, 2019
Operational/Managerial ControlMedical Director Jul 29, 2019
Greg Palmer Individual Corporate DirectorBoard Member Jul 29, 2019
Gabe Roberts Individual Corporate DirectorBoard Member Jul 29, 2019
Resolute Capital Partners Fund IV LP Organization, Nashville, TN 5% Or Greater Indirect Ownership Interest Jul 29, 2019 10.51%
Bill Nutter Individual Corporate DirectorBoard Member Jul 29, 2019
Evelyn Bevis Individual 5% Or Greater Indirect Ownership InterestVP Support Services Jul 29, 2019 9.91%
Ronald a Malone Individual Corporate DirectorChair of Board Jul 29, 2019

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20201120001496 IA Part B Supplier - Clinic/Group Practice 1052722147 Receives reassigned benefits from 78 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Madison, IA; Grinnell, IA; Mt Pleasant, IA; Newton, IA; Osceola, IA; Washington, IA
O20230224000732 IA Part a Provider - Rural Health Clinic 1052722147 Practice locations: Osceola, IA

National Provider Directory

National Provider Directory
Tax ID family
Quickvisit Urgent Care (6 organizations share this tax ID)

Locations

1817 1st Ave E
Newton, IA 50208
Phone (641) 458-3055

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

312 W McLane St
Osceola, IA 50213-1511

Mailing address

PO Box 1022
Waynesboro, TN 38485-1022
Phone (931) 722-2369

Other names 1

NPPES NPI Registry
  • QuickVisit Urgent Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2022.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1043936735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851022",
            "telephone_number": "931-722-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W MCLANE ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131511",
            "telephone_number": "641-658-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QV URGENT CARE IA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUICKVISIT MANAGEMENT IA, LLC",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "REAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-540-4210",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QuickVisit Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, IA

Sources for this page

Verify at the official NPI Registry.