Organization Active NPI

The Quinn Community Outreach Corporation

  • Non-emergency Medical Transport (VAN)
  • Moreno Valley, CA
National Provider Identifier
1649927427
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
THE QUINN COMMUNITY OUTREACH CORPORATION
Practice address
25400 Alessandro Blvd
Moreno Valley, CA 92553-4319
Phone
(951) 988-4773
Fax
(833) 623-4258
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Eudora Mitchell
Title
Executive Director
Phone
(951) 581-6672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

25400 Alessandro Blvd
Moreno Valley, CA 92553-4319

Mailing address

PO Box 8742
Moreno Valley, CA 92552-8742
Phone (951) 988-4773

National Provider Directory

National Provider Directory

Locations

25400 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 750-0117

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1649927427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8742",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925528742",
            "telephone_number": "951-988-4773",
            "fax_number": "833-234-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 ALESSANDRO BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534319",
            "telephone_number": "951-988-4773",
            "fax_number": "833-623-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE QUINN COMMUNITY OUTREACH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "EUDORA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-581-6672"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 2, 2022; 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.