QUINCY MEDICAL GROUP
NPI 1053410001
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Quincy, IL

NPI Status: Active since September 22, 2006

Contact Information

1025 MAINE ST
QUINCY, IL
ZIP 62301
Phone: (217) 222-6550
Fax: (217) 277-2253

NPI Profile Information
Primary Taxonomy
Authorized Official
Dialysis Facility Compare Information
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 14D2326412
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 12-10-2027

About QUINCY MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Quincy Medical Group, a provider established in Quincy, Illinois operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1053410001 assigned on September 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Quincy Medical Group. The authorized official of this NPI record is Mrs. Patricia A. Williamson (Cfo)

NPI: 1053410001
Provider Legal Name: QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Other Organization Name: QUINCY MEDICAL GROUP
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1025 MAINE ST QUINCY, IL 62301
Location Phone: (217) 222-6550
Location Fax: (217) 277-2253
Mailing Address: 1025 MAINE ST QUINCY, IL 62301
Mailing Phone: (217) 222-6550
Mailing Fax: (217) 277-2253
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 09-22-2006
Last Update Date: 02-10-2023
Code Navigator

According to the Dialysis Facility Compare program data, Quincy Medical Group doesn't have a Quality of Patient Care Star Rating available at this time because not enough quality measure data to calculate a star rating.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center End-Stage Renal Disease (ESRD) Treatment
Taxonomy Code: 261QE0700X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MRS. PATRICIA A. WILLIAMSON
Authorized Official Title: CFO
Authorized Official Phone: (217) 222-6550

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.	Not Available - Not enough quality measure data to calculate a star rating.
Dialysis Facility Type	Profit
Is it part of a chain?	No
Corporate Name	Independent
Shifts Starting After 5PM Shifts Starting After 5PM If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.	No
In-Center Hemodialysis In-Center Hemodialysis Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.	No
Number of Hemodialysis Stations Number of Hemodialysis Stations The number of hemodialysis stations in the dialysis facility.	1
Peritoneal Dialysis Peritoneal Dialysis Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.	Yes
Home Hemodialysis Training Home Hemodialysis Training If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.	Yes
Certification or Recertification Date	05-25-2007

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 14D2326412
Facility Type: Physician Office
Certificate Effective Date: December 11, 2025
Certificate Expiration Date: December 10, 2027
Laboratory Director: AUSTIN J. MADDY
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Quincy Medical Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053410001, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 39. The final step is to find the difference between that total and the next multiple of ten (40 - 39 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 8 + 1 + 0 + 0 + 0 + 24 = 39

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 39 is 40. The difference is the calculated check digit.

40 - 39 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1053410001.