QUAD/MED, LLC – NPI #1386165918
Clinic/Center

QUAD/MED, LLC is an AHC clinic located in WEST BEND, WI. NPPES has assigned the NPI number 1386165918 to QUAD/MED, LLC on July 05, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 5 years ago on Feb 10, 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 QUAD/MED, LLC below.

NPI Profile for
QUAD/MED, LLC

NPI Number
1386165918
Enumeration Date

(about 9 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
QUAD/MED, LLC
Primary location
432 E. WASHINGTON ST. #1115
WEST BEND, WI 53095
Phone: (844) 827-1814 Fax:
Mailing address
N64W23110 MAIN STREET
SUSSEX, WI 53089
Phone: (414) 566-8400 Fax:
Organization Subpart
No
Authorized Official
ROBERT POULSEN
CFO
Phone: (414) 566-8400
Updated
Certification Date
Feb 10, 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
261QP2300X
- Clinic/Center / Primary Care (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.