| Quad/med, LLC | |
|
859 Century Rd Ravenswood WV 26164-3937 | |
| (304) 273-6261 | |
| (414) 622-3884 |
| Full Name | Quad/med, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 859 Century Rd, Ravenswood, West Virginia |
| 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 W227n6103 Sussex Rd Sussex WI 53089-3969 Ph: (414) 566-8400 | Quad/med, LLC 859 Century Rd Ravenswood WV 26164-3937 Ph: (304) 273-6261 |
| NPI Number | 1003677519 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 07/08/2025 |
| Certification Date | 07/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003677519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | () | Secondary |
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