NPIMap

Organization Active NPI

QV Urgent Care TX PLLC

Doing business as QuickVisit Urgent Care

  • Rural Health Clinic/Center
  • Kilgore, TX
National Provider Identifier
1437875192
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
QV URGENT CARE TX PLLC
Doing business as
QuickVisit Urgent Care
Practice address
1016 N Kilgore St
Kilgore, TX 75662-6054
Phone
(903) 522-4199
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
QUICKVISIT MANAGEMENT TX, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Richard Reams Powers Jr., MDNPI 1467428680
Title
Owner
Phone
(931) 540-4210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1016 N Kilgore St
Kilgore, TX 75662-6054

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 TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200508000781 TX Part B Supplier - Clinic/Group Practice 5395176267 Receives reassigned benefits from 93 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bonham, TX; Carthage, TX; Commerce, TX; Henderson, TX; Hillsboro, TX; Jacksonville, TX; Kilgore, TX; Mabank, TX…

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory

Locations

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 12, 2024 Change of OwnershipThis provider was the seller Ut East Texas Urgent Care Centers, PLLCCCN 678915, TX, NPI 1356974281

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1437875192",
    "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": "1016 N KILGORE ST",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756626054",
            "telephone_number": "903-522-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QV URGENT CARE TX PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUICKVISIT MANAGEMENT TX, LLC",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "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_name_suffix": "Jr.",
        "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 Kilgore, TX

Sources for this page

Verify at the official NPI Registry.