| Quad Intermed Company Llc | |
| 
					498 Highway 80 E Clinton MS 39056-4720  | |
| (601) 924-4000 | |
| Not Available | 
| Full Name | Quad Intermed Company Llc | 
|---|---|
| Speciality | Clinic/center | 
| Location | 498 Highway 80 E, Clinton, Mississippi | 
| Authorized Official Name and Position | William M Grantham (CEO) | 
| Authorized Official Contact | 6018987530 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Quad Intermed Company Llc 308 Corporate Dr Ridgeland MS 39157-8803 Ph: (601) 898-7530  | Quad Intermed Company Llc 498 Highway 80 E Clinton MS 39056-4720 Ph: (601) 924-4000  | 
| NPI Number | 1154104339 | 
|---|---|
| Provider Enumeration Date | 08/14/2023 | 
| Last Update Date | 08/14/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154104339 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
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