| Quad/med, Llc | |
|
400 E State Road 44 Liberty IN 47353-8984 | |
| (888) 417-1001 | |
| Not Available |
| Full Name | Quad/med, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 400 E State Road 44, Liberty, Indiana |
| Authorized Official Name and Position | Robert L Poulsen (CFO) |
| Authorized Official Contact | 4145668400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quad/med, Llc N64w23110 Main Street Sussex WI 53089 Ph: (414) 566-8400 | Quad/med, Llc 400 E State Road 44 Liberty IN 47353-8984 Ph: (888) 417-1001 |
| NPI Number | 1235535600 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235535600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Union County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 N Market St, Liberty, IN 47353 Phone: 765-458-5191 Fax: 765-458-7301 | |
Union County Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 N Market St, Liberty, IN 47353 Phone: 765-458-5191 Fax: 765-458-7301 |