NPIMap

Organization Active NPI

QC Wellness, LLC

  • Urgent Care Clinic/Center
  • Madison, AL
National Provider Identifier
1194274472
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
QC WELLNESS, LLC
Practice address
7500 Highway 72 W
Madison, AL 35758-9554
Phone
(256) 656-5789
NPI assigned
Sep 27, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tonja Williams
Title
Office Mnager
Phone
(256) 656-5789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

7500 Highway 72 W
Madison, AL 35758-9554

Mailing address

7500 Highway 72 W
Madison, AL 35758-9554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170120000884 AL Part B Supplier - Clinic/Group Practice 0547542995 Receives reassigned benefits from 27 practitioners
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1194274472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589554",
            "telephone_number": "256-656-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "OFFICE MNAGER",
        "authorized_official_telephone_number": "256-656-5789"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.