Gadson Clinic is a Specialist in Quincy, Illinois. Gadson Clinic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gadson Clinic is 1528059250. The last update date is 2020-08-22.
Gadson Clinic's current location address is 1622 Broadway St, Quincy, Illinois. You can contact this provider via phone number 2172237911 and fax number 2172237941. The mailing address for Gadson Clinic is 1622 Broadway St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gadson Clinic |
|---|---|
| Address | 1622 Broadway St, Quincy, Illinois |
| Phone Number | 2172237911 |
| Fax Number | 2172237941 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gadson Thomas Michael |
| Credentials | MD |
| Telephone Number | 2172237911 |
NPI Number Detail
| NPI Number | 1528059250 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1622 Broadway St |
|---|---|
| City | Quincy |
| State | Illinois (IL) |
| Post Code | 623012817 |
| Phone Number | 2172237911 |
| Fax Number | 2172237941 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16189 | MO | BLUE CROSS OF MISSOURI | |
| 18853 | IL | HEALTH ALLIANCE | |
| 76559 | IL | QHCM | |
| 120152 | IL | BLUE CROSS BLUE SHIELD | |
| 138989 | IL | HELATHLINK |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gadson Clinic by the Centers for Medicare & Medicaid Services?
The Gadson Clinic has been issued the NPI (National Provider Identifier) 1528059250 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Gadson Clinic's physical address?
The Gadson Clinic is physically located at 1622 Broadway St, in the city of Quincy, IL, with the postal code 623012817.
What is the Gadson Clinic's specialty and taxonomy code?
The Gadson Clinic's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Gadson Clinic receive its 1528059250 assignment?
The Gadson Clinic was assigned its 1528059250 on 2005-11-02, which is the date when this unique identifier was issued to the organization.
As of what date were the Gadson Clinic's details last updated?
The information pertaining to the Gadson Clinic, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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