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NPI Code Detail

MEDICARE: QUINCO CONSULTING CENTER INC

MEDICARE: QUINCO CONSULTING CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000209001OTHERINANTHEM GROUP PIN

General Provider Information

NPI Number : 1538290341
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUINCO CONSULTING CENTER INC
Provider Business Mailing Address
First Line : 720 N MARR RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-6660
Country : US
Telephone Number : 812-314-3400
Fax Number : 812-378-8367
Provider Business Practice Location Address
First Line : 1260 E BUCKEYE ST
Second Line :
City : NORTH VERNON
State : IN
Zip : 47265-8343
Country : US
Telephone Number : 812-346-4468
Fax Number : 812-346-4341
Authorized Official
Title or Position : CEO
Name : DR. ROBERT J WILLIAMS
Credential : PHD, HSPP
Telephone Number : 812-314-3400
Provider Enumeration Date : 03/07/2007
Last Update Date : 08/22/2020

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Directions to “QUINCO CONSULTING CENTER INC ” Practice Location

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