Provider Demographics
NPI:1043524838
Name:QUALITY CARE CONCEPTS, INC.
Entity type:Organization
Organization Name:QUALITY CARE CONCEPTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-823-5509
Mailing Address - Street 1:600 REPUBLIC CTR
Mailing Address - Street 2:633 CHESTNUT ST
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37450-0600
Mailing Address - Country:US
Mailing Address - Phone:800-823-5509
Mailing Address - Fax:888-597-4366
Practice Address - Street 1:121 TILTON ROAD
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721
Practice Address - Country:US
Practice Address - Phone:800-823-5509
Practice Address - Fax:888-597-4366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies