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Quincy Physicians & Surgeons Clinic, PLLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Quincy, IL

NPI 1245862002 · NPPES record last updated Dec 20, 2021

Key facts

NPI
1245862002
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Practice address
3301 Broadway St.
Quincy, IL 62301
Phone
(217) 222-6550
NPI assigned
Feb 10, 2020
Organization subpart
Yes
Parent organization (as reported)
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC

Authorized official

Name
Patty Woerman
Title
Credentialing Specialist
Phone
(217) 222-6550

Other NPIs with the same Medicare PAC ID 17

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

Corporate family (same tax ID) 24

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 232

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

View all 232

Medicare Care Compare: Ambulatory surgical center

Listed as
Quincy Physicians Surgeons Clinic Dba Quincy Medical Group Surgery Center CCN 14C0001187
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210514001585 IL Part B Supplier - Ambulatory Surgical Center 0749192375 Practice locations: Quincy, IL

National Provider Directory

Tax ID family
QPS Clinic SC Dbaqncy (25 organizations share this tax ID)
Part of
QPS Clinic SC Dbaqncy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

3301 Broadway St.
Quincy, IL 62301

Mailing address

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

Other names

  • Quincy Medical Group Surgery Center Doing business as

Other providers in Quincy, IL

All providers in Quincy, IL · Ambulatory Surgical Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.