Healthcare Provider Details

I. General information

NPI: 1407465917
Provider Name (Legal Business Name): QV URGENT CARE IA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 NORTH GRAND AVENUE
MT. PLEASANT IA
52641
US

IV. Provider business mailing address

PO BOX 1022
WAYNESBORO TN
38485-1022
US

V. Phone/Fax

Practice location:
  • Phone: 931-722-2369
  • Fax:
Mailing address:
  • Phone: 319-984-4775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RICHARD REAMS POWERS JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 931-540-4210