Provider Demographics
NPI: | 1326881954 |
---|---|
Name: | QUALITY PATIENT CENTERED SERVICES LLC |
Entity type: | Organization |
Organization Name: | QUALITY PATIENT CENTERED SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | BUSINESS OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DEBBIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SAMPSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN, BSN |
Authorized Official - Phone: | 570-971-1994 |
Mailing Address - Street 1: | 118 ALWINE RD |
Mailing Address - Street 2: | |
Mailing Address - City: | MIDDLETOWN |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 17057-4401 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 570-971-1994 |
Mailing Address - Fax: | 717-993-4511 |
Practice Address - Street 1: | 118 ALWINE RD |
Practice Address - Street 2: | |
Practice Address - City: | MIDDLETOWN |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17057-4401 |
Practice Address - Country: | US |
Practice Address - Phone: | 570-971-1994 |
Practice Address - Fax: | 717-993-4511 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-06-12 |
Last Update Date: | 2024-06-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education | Group - Multi-Specialty |
No | 146L00000X | Emergency Medical Service Providers | Emergency Medical Technician, Paramedic | Group - Multi-Specialty | |
No | 163WC0400X | Nursing Service Providers | Registered Nurse | Case Management | Group - Multi-Specialty |
No | 163WD0400X | Nursing Service Providers | Registered Nurse | Diabetes Educator | Group - Multi-Specialty |
No | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | Group - Multi-Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 174H00000X | Other Service Providers | Health Educator | Group - Multi-Specialty | |
No | 2355A2700X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Audiology Assistant | |
No | 246QL0901X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Laboratory Management, Diplomate | Group - Multi-Specialty |
No | 247ZC0005X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Clinical Laboratory Director, Non-physician | Group - Multi-Specialty |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
No | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty | |
No | 376K00000X | Nursing Service Related Providers | Nurse's Aide | Group - Multi-Specialty |