MEDICARE: QUAD INTERMED COMPANY LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1952099913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUAD INTERMED COMPANY LLC

Provider Business Mailing Address
First Line	:	308 CORPORATE DR
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-8803
Country	:	US
Telephone Number	:	601-898-7530
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 JEFFERSON ST
Second Line	:
City	:	LAUREL
State	:	MS
Zip	:	39440-4244
Country	:	US
Telephone Number	:	601-425-4893
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ASHLEY BUIE
Credential	:
Telephone Number	:	601-898-7530

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	06/02/2023

Similar Medicare Providers

1407880404 — FIRST INTERMED CORPORATION
Practice Location Address:

1515 JEFFERSON ST
LAUREL, MS
39440-4244

Practice Phone: 601-425-4893
Practice Fax: 601-428-8633

1679585673 — NATHAN A WILLIAMSON MD
Practice Location Address:

1515 JEFFERSON ST
LAUREL, MS
39440-4244

Practice Phone: 601-425-4893
Practice Fax: 601-428-8633

1699210674 — MEA PRIMARY CARE PLUS LLC
Practice Location Address:

1515 JEFFERSON ST
LAUREL, MS
39440-4244

Practice Phone: 601-425-4893
Practice Fax:

1033903547 — SOUTH CENTRAL CLINICS, INC
Practice Location Address:

1515 JEFFERSON ST
LAUREL, MS
39440-4244

Practice Phone: 601-426-3421
Practice Fax: 601-426-2493

1952266215 — SASHIA M FLUKER
Practice Location Address:

1721 W 10TH ST
LAUREL, MS
39440-2540

Practice Phone: 601-425-9322
Practice Fax:

1366184210 — DR. KATHERINE LILLIAN CRANSTON MD
Practice Location Address:

1430 JEFFERSON ST
LAUREL, MS
39440-4243

Practice Phone: 601-425-2273
Practice Fax:

Directions to “QUAD INTERMED COMPANY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.