MEDICARE: QUALITY MEDICAL CARE AND SERVICES, L.L.C.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164426003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY MEDICAL CARE AND SERVICES, L.L.C.

Provider Business Mailing Address
First Line	:	903 TATE COVE RD
Second Line	:
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-3600
Country	:	US
Telephone Number	:	337-363-8101
Fax Number	:	337-363-8656

Provider Business Practice Location Address
First Line	:	903 TATE COVE RD
Second Line	:
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-3600
Country	:	US
Telephone Number	:	337-363-8101
Fax Number	:	337-363-8656

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	CHARLES J. ASWELL III
Credential	:	M.D.
Telephone Number	:	337-363-7474

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/23/2009

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