Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Quad Intermed Company LLC

Organization Clinic/Center · NPI 1205524261

Quad Intermed Company LLC is a Clinic/Center in Vicksburg, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4204 Clay St
Vicksburg, MS 39183-3438
Phone: (601) 619-7717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1205524261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Buie — Director · (601) 898-7530
NPI enumeratedApril 27, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing address308 Corporate Dr, Ridgeland, MS 39157-8803

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