Organization
MEDIQUEST INC.
Active
Organization
MEDIQUEST INC.
Active
Parent organization
MEDIQUEST INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDIQUEST INC.
Authorized official
MR. MAILAN OLIQUINO PINEDA (MEDICAL ADMINISTRATOR)
(479) 750-7463
Entity
Organization
Contact information
Practice address
121 E VAN BUREN, SUITE E, EUREKA SPRINGS, AR 72632-3653
(479) 253-8383
(479) 750-7462
Mailing address
121 E VAN BUREN, SUITE E, EUREKA SPRINGS, AR 72632-3653
(479) 253-8383
(479) 750-7462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4136500001
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145876416
—
AR
01
—
4156500001
MEDICARE PTAN
AR
Enumeration date
08/27/2010
Last updated
08/27/2010
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