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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
About Stedi
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Product
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  • Eligibility checks
  • EDI platform