Organization Active NPI

Workhealth-Quincy, PLLC

  • Clinic/Center
  • Quincy, MI
National Provider Identifier
1356894547
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301048149 Issued in MI
Legal business name
WORKHEALTH-QUINCY, PLLC
Practice address
181 E Chicago St
Quincy, MI 49082-1165
Phone
(517) 639-7300
Fax
(517) 639-7301
NPI assigned
Jul 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
David Robert Walker, PA
Title
Physician Assistant- Manager
Phone
(517) 639-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301048149 MI Primary

Addresses

Primary practice location

181 E Chicago St
Quincy, MI 49082-1165

Mailing address

181 E Chicago St
Quincy, MI 49082-1165
Phone (517) 639-7300

Other identifiers 1

IdentifierTypeStateIssuer
4897987MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1356894547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 E CHICAGO ST",
            "city": "QUINCY",
            "state": "MI",
            "postal_code": "490821165",
            "telephone_number": "517-639-7300",
            "fax_number": "517-639-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E CHICAGO ST",
            "city": "QUINCY",
            "state": "MI",
            "postal_code": "490821165",
            "telephone_number": "517-639-7300",
            "fax_number": "517-639-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKHEALTH-QUINCY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT- MANAGER",
        "authorized_official_telephone_number": "517-639-7300",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301048149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4897987",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.