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

NPI Status: Active since May 10, 2018

Contact Information

1603 MORGAN ST STE 3
KEOKUK, IA
ZIP 52632
Phone: (319) 524-4300
Fax: (319) 524-4424

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 16D1010142
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 11-30-2027

About QUINCY MEDICAL GROUP KEOKUK AFFILIATE

This page provides the complete NPI Profile along with additional information for Quincy Medical Group Keokuk Affiliate, a primary care provider established in Keokuk, Iowa operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1508356098 assigned on May 2018. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Quincy Medical Group Keokuk Affiliate. The authorized official of this NPI record is Patty Woerman (Credentialing Specialist)

NPI
1508356098
Provider Legal Name
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Other Organization Name
QUINCY MEDICAL GROUP KEOKUK AFFILIATE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1603 MORGAN ST STE 3 KEOKUK, IA 52632
Location Phone
(319) 524-4300
Location Fax
(319) 524-4424
Mailing Address
1025 MAINE ST QUINCY, IL 62301
Mailing Phone
(217) 222-6550
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-10-2018
Last Update Date
12-20-2021
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A primary care provider (PCP) like Quincy Medical Group Keokuk Affiliate sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Rural Health

Taxonomy Code
261QR1300X
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

PATTY WOERMAN

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(217) 222-6550

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
16D1010142
Facility Type
Rural Health Clinic
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
CRAIG DAVENPORT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Quincy Medical Group Keokuk Affiliate to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1508356098, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 0 → 0 3 → 6 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 6 + 5 + 1 + 2 + 0 + 1 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1508356098.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1603 MORGAN ST STE 3
KEOKUK, IA 52632
Surgery
1603 MORGAN ST STE 3
KEOKUK, IA 52632
Durable Medical Equipment & Medical Supplies
1603 MORGAN ST STE 3
KEOKUK, IA 52632
Nurse Practitioner (Family)
1603 MORGAN ST STE 3
KEOKUK, IA 52632
Nurse Practitioner (Family)
1603 MORGAN ST STE 3
KEOKUK, IA 52632
Family Medicine
1603 MORGAN ST STE 3
KEOKUK, IA 52632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508356098, enumerated as an "organization" on May 10, 2018.

The provider is located at 1603 MORGAN ST STE 3 KEOKUK, IA 52632 and the phone number is (319) 524-4300.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.