QUINCY MEDICAL GROUP KEOKUK AFFILIATE
NPI 1508356098
Clinic/Center - Rural Health in Keokuk, IA

Q: 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.

Active since May 10, 2018CLIA 16D1010142 · Waiver

1603 MORGAN ST STE 3, KEOKUK, IA 52632(319) 524-4300(319) 524-4424 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2021, May 10, 2018 (2 updates tracked since 2018).

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About Quincy Medical Group Keokuk Affiliate NPPES

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

QUINCY MEDICAL GROUP KEOKUK AFFILIATE (NPI 1508356098) is a healthcare organization registered as a rural health in Keokuk, Iowa and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Patty Woerman, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1508356098

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameQUINCY PHYSICIANS & SURGEONS CLINIC, PLLC

Location Address1603 MORGAN ST STE 3Keokuk, IA 52632-3433

Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550

Phone(319) 524-4300

Fax(319) 524-4424

Organization SubpartYes

Authorized OfficialPatty WoermanCredentialing Specialist · (217) 222-6550

Enumeration DateMay 10, 2018

Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1508356098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

1603 MORGAN ST STE 3, Keokuk, IA 52632

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Other Names 1

Other NameQuincy Medical Group Keokuk Affiliate

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1010142

Quincy Medical Group- Keokuk Family Practice · Keokuk, IA

Active · expires Nov 30, 2027

CLIA Number16D1010142

Laboratory TypeRural Health Clinic

Certificate Effective DateDecember 1, 2025

Certificate Expiration DateNovember 30, 2027

Laboratory DirectorCraig Davenport

Laboratory Phone(319) 524-4300

Laboratory LocationQuincy Medical Group- Keokuk Family Practice1603 Morgan Street, Suite 3, Keokuk, IA 52632

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 6

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

CHRISTINA KELLY APRN, FNP-C

Nurse Practitioner (Family)