Organization
ELEANOR QUINITCHETE HYPERBARIC, WOUND CARE AND DIAGNOSTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN KEITH COOK DPM (PRESIDENT)
(340) 626-3714
Entity
Organization
Contact information
Practice address
4100 SION FARM COMM CTR #8, CHRISTIANSTED, VI 00820-4433
(340) 626-3714
(877) 349-0205
Mailing address
4100 SION FARM COMM CTR #8, CHRISTIANSTED, VI 00820-4433
(340) 626-3714
(877) 349-0205
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1058
DEPARTMENT OF HEALTH
VI
Enumeration date
12/06/2018
Last updated
12/06/2018
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