Provider Demographics
NPI:1912905019
Name:QUALITY HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:QUALITY HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRANIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-374-0609
Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30475-0471
Mailing Address - Country:US
Mailing Address - Phone:912-526-4446
Mailing Address - Fax:
Practice Address - Street 1:127 MOODY CIR
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:GA
Practice Address - Zip Code:30436-1428
Practice Address - Country:US
Practice Address - Phone:912-526-4446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00898356AMedicaid
GA00898356AMedicaid