QUINCY MEDICAL GROUP SURGERY CENTER – NPI #1245862002
Clinic/Center

QUINCY MEDICAL GROUP SURGERY CENTER is an AHC clinic located in QUINCY, IL. NPPES has assigned the NPI number 1245862002 to QUINCY MEDICAL GROUP SURGERY CENTER on February 10, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “QUINCY MEDICAL GROUP SURGERY CENTER” is a dba name, the actual legal business name for this organization is QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Dec 20, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for QUINCY MEDICAL GROUP SURGERY CENTER below.

NPI Profile for
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC

NPI Number
1245862002
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Doing Business As (dba): QUINCY MEDICAL GROUP SURGERY CENTER
Primary location
3301 BROADWAY ST.
QUINCY, IL 62301
Phone: (217) 222-6550 Fax:
Mailing address
1025 MAINE ST
QUINCY, IL 62301-4038
Phone: (217) 222-6550 Fax:
Organization Subpart
Yes - QUINCY MEDICAL GROUP SURGERY CENTER is subpart of another organization.
Authorized Official
PATTY WOERMAN
CREDENTIALING SPECIALIST
Phone: (217) 222-6550
Updated
Certification Date
Dec 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.