NPIMap

Organization Active NPI

QV Urgent Care Ia PLLC

  • Rural Health Clinic/Center
  • Washington, IA
National Provider Identifier
1235835950
Registry record updated Feb 3, 2023
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
2489 Highway 92
Washington, IA 52353-9337
Phone
(319) 206-9383
NPI assigned
Feb 3, 2023
Organization subpart
Yes
Parent organization
QUICKVISIT MANAGEMENT IA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Richard Reams Powers, 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.

Specialties & licenses 1

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

Addresses

Primary practice location

2489 Highway 92
Washington, IA 52353-9337

Mailing address

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

Other names 1

  • QUICKVISIT URGENT CARE Doing business as

Medicare participation

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

Enrollment records 2

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
O20230328001497 IA Part A Provider - Rural Health Clinic 1052722147 Practice locations: Washington, IA

Rural health clinic certification: CCN 168984

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
2489 Highway 92
Washington, IA 52353-9337

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Quickvisit Urgent Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1501 39th St
Fort Madison, IA 52627
Phone (319) 376-1511

213 West St S
Grinnell, IA 50112
Phone (641) 519-0563

Ownership & related parties

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 2

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

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
    • Osceola, IA
    • NPI 1043936735

    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
    • 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
    • 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 & affiliated clinicians

Practitioners 81

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

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1235835950",
    "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": "2489 HIGHWAY 92",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523539337",
            "telephone_number": "319-206-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QV URGENT CARE IA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUICKVISIT MANAGEMENT IA, LLC",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "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_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 Washington, IA

Sources for this page

Verify at the official NPI Registry.