QUINCY MEDICAL GROUP KAHOKA AFFILIATE
NPI 1205402195
Clinic/Center - Rural Health in Kahoka, MO

Active since June 01, 2021
133 E MAIN ST, KAHOKA, MO 63445(660) 727-3388(660) 727-2196 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2021, Jun 1, 2021 (2 updates tracked since 2021).

About Quincy Medical Group Kahoka Affiliate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUINCY MEDICAL GROUP KAHOKA AFFILIATE (NPI 1205402195) is a healthcare organization registered as a rural health in Kahoka, Missouri and active in the NPI registry since June 2021. The organization lists Patty Woerman, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1205402195
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameQUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Location Address133 E MAIN STKahoka, MO 63445-1775
Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550
Fax(660) 727-2196
Organization SubpartYesParent: Quincy Physicians & Surgeons Clinic, Sc
Authorized OfficialPatty WoermanCredentialing Specialist · (217) 222-6550
Enumeration DateJune 1, 2021
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
NPI 1205402195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
133 E MAIN ST, Kahoka, MO 63445

Other Names 1

Other NameQuincy Medical Group Kahoka Affiliate

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Quincy Medical Group Kahoka Affilia carries, from the Medicare DMEPOS supplier directory.

Quincy Medical Group Kahoka Affilia

DMEPOS supplier · Kahoka, MOOperated by Quincy Physicians & Surgeons Clinic, PLLC

Accepts Medicare assignment

Quincy Medical Group Kahoka Affilia agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20666993
Medicare Participant SinceJanuary 1, 1997
Supplier Location133 E Main StKahoka, MO 63445
Provider TypeNurse Practitioner · Physician – Family Practice

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
133 E MAIN ST
KAHOKA, MO 63445
Durable Medical Equipment & Medical Supplies
133 E MAIN ST
KAHOKA, MO 63445
Family Medicine
133 E MAIN ST
KAHOKA, MO 63445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quincy Physicians & Surgeons Clinic, PLLC's NPI number?

The NPI number for Quincy Physicians & Surgeons Clinic, PLLC is 1205402195. It was assigned to this organization in the NPPES registry on June 1, 2021. The provider is also known as Quincy Medical Group Kahoka Affiliate.

Where is Quincy Physicians & Surgeons Clinic, PLLC located?

Quincy Physicians & Surgeons Clinic, PLLC is located at 133 E Main St, Kahoka, MO 63445. The listed phone number is (660) 727-3388.

What is Quincy Physicians & Surgeons Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Quincy Physicians & Surgeons Clinic, PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Quincy Medical Group Kahoka Affilia accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Quincy Physicians & Surgeons Clinic, PLLC was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.