Organization

Quad Intermed Company Llc

Clinic/Center in Clinton, MS(View on Map)

Legal Business Name

Quad Intermed Company Llc

NPI Number

1154104339

NPI Type

Organization

Enumeration Date

08/14/2023

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

308 CORPORATE DR
498 HIGHWAY 80 E

City

Ridgeland
Clinton

State

MS
MS

Postal Code

39157-8803
39056-4720

Country

US
US

Telephone Number

(601) 898-7530
(601) 924-4000

Authorized Official

Name

William Grantham

Title or Position

CEO

Telephone Number

(601) 898-7530

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/14/2023

Provider Address

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