Provider Demographics
NPI:1043936735
Name:QV URGENT CARE IA PLLC
Entity Type:Organization
Organization Name:QV URGENT CARE IA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:REAMS
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:931-540-4210
Mailing Address - Street 1:PO BOX 1022
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:38485-1022
Mailing Address - Country:US
Mailing Address - Phone:931-722-2369
Mailing Address - Fax:
Practice Address - Street 1:312 W MCLANE ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:IA
Practice Address - Zip Code:50213-1511
Practice Address - Country:US
Practice Address - Phone:641-658-9048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUICKVISIT MANAGEMENT IA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health