QUAD INTERMED COMPANY LLC
NPI 1205524261
Clinic/Center in Vicksburg, MS

Active since April 27, 2023
4204 CLAY ST, VICKSBURG, MS 39183(601) 619-7717 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Quad Intermed Company Llc NPPES

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

QUAD INTERMED COMPANY LLC (NPI 1205524261) is a healthcare organization registered as a clinic/center in Vicksburg, Mississippi and active in the NPI registry since April 2023. The organization lists Ashley Buie, Director, as its authorized official.

NPPES Registry Identity

NPI1205524261
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameQUAD INTERMED COMPANY LLC
Location Address4204 CLAY STVicksburg, MS 39183-3438
Mailing Address308 Corporate DrRidgeland, MS 39157-8803 · (601) 898-7530
Organization SubpartNo
Authorized OfficialAshley BuieDirector · (601) 898-7530
Enumeration DateApril 27, 2023
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
NPI 1205524261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4204 CLAY ST, Vicksburg, MS 39183

Accepted Insurance

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)
4204 CLAY ST
VICKSBURG, MS 39183
Family Medicine
4204 CLAY ST
VICKSBURG, MS 39183
Physician Assistant
4204 CLAY ST
VICKSBURG, MS 39183

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205524261, enumerated as an "organization" on April 27, 2023.

The provider is located at 4204 CLAY ST VICKSBURG, MS 39183 and the phone number is (601) 619-7717.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.