Organization Active NPI

Quinn Community Outreach Corporation

  • Health Maintenance Organization
  • Moreno Valley, CA
National Provider Identifier
1447815659
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
QUINN COMMUNITY OUTREACH CORPORATION
Doing business as
QCOC
Practice address
25400 Alessandro Blvd Ste 101
Moreno Valley, CA 92553-4319
Phone
(951) 570-0043
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Ms. Eudora MitchellNPI 1750900023
Title
Executive Director
Phone
(951) 570-0043

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
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

25400 Alessandro Blvd Ste 101
Moreno Valley, CA 92553-4319

Mailing address

25400 Alessandro Blvd Ste 101
Moreno Valley, CA 92553-4319
Phone (951) 570-0043

Other names 1

  • QCOC Doing business as

National Provider Directory

National Provider Directory

Locations

25400 Alessandro Blvd
Ste 101
Moreno Valley, CA 92553
Phone (951) 488-4253

Practitioners & affiliated clinicians

Practitioners 2

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": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1447815659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 ALESSANDRO BLVD STE 101",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534319",
            "telephone_number": "951-570-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 ALESSANDRO BLVD STE 101",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534319",
            "telephone_number": "951-570-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN COMMUNITY OUTREACH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "EUDORA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-570-0043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QCOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.