Organization Active NPI

Kurani Med Inc

Doing business as QC Family Care

  • Family Medicine Physician
  • Moline, IL
National Provider Identifier
1356811145
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KURANI MED INC
Doing business as
QC Family Care
Practice address
2526 41St St
Moline, IL 61265-5016
Phone
(309) 281-2860
Fax
(309) 281-2869
NPI assigned
Dec 5, 2018
Last updated
Dec 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Carolyn F Myers
Title
Credentialing
Phone
(309) 762-9711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2526 41St St
Moline, IL 61265-5016

Mailing address

3407 79TH St
Moline, IL 61265-8062
Phone (563) 650-7135

Other names 1

  • QC Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

4350 7th St
Ste A
Moline, IL 61265
Phone (309) 281-2860

835 169th St
Hammond, IN 46324
Phone (219) 902-3394

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1356811145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 79TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658062",
            "telephone_number": "563-650-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655016",
            "telephone_number": "309-281-2860",
            "fax_number": "309-281-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURANI MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "309-762-9711"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QC Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.