Quincy Intermed Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704213726 Issued in MI

Legal business name

QUINCY INTERMED INC

Practice address

185 E Chicago St
Quincy, MI 49082-1165

Phone

(517) 639-5354

Fax

(517) 639-5344

NPI assigned

May 7, 2008

Last updated

Sep 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi L Johnson

Title

Biller

Phone

(517) 639-5354

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Quincy Intermed Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Quincy Intermed Inc

  • Internal Medicine Physician
  • Quincy, MI
  • NPI 1447307954
  NPD tax ID

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1780850982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E CHICAGO ST",
            "city": "QUINCY",
            "state": "MI",
            "postal_code": "490821165",
            "telephone_number": "517-639-5354",
            "fax_number": "517-639-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E CHICAGO ST",
            "city": "QUINCY",
            "state": "MI",
            "postal_code": "490821165",
            "telephone_number": "517-639-5354",
            "fax_number": "517-639-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY INTERMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "517-639-5354"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704213726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4934955",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1932284973",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Murray
• Alixandra Neitzert, M.A.
• Jaime Andres Ocampo, DDS
• Partners in Health at Quincy Intermed LLC
• Quincy Intermed Inc
• Jennifer Lynn Rose, LMSW
• Danielle Shilling
• Brandie Lee Smith, LLMSW
• Sonria P.C
• Mariah Supianoski

• Adult Health Nurse Practitioner in Quincy, MI
• Providers in Quincy, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.