# QUAD INTERMED COMPANY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MEA Medical Clinic Gluckstadt
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932998051
- **Authorized official:** ASHLEY BUIE (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (601) 898-7530

## Contact information

- **Practice address:** 1265 GLUCKSTADT RD STE B, GLUCKSTADT, MS 39110-7250
- **Practice address phone:** (601) 859-8550
- **Practice address fax:** (601) 898-8556
- **Mailing address:** 1265 GLUCKSTADT RD STE B, GLUCKSTADT, MS 39110-7250
- **Mailing address phone:** (601) 859-8550
- **Mailing address fax:** (601) 898-8556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2025
- **Last updated:** 05/05/2025