AMEDIQUEST HEALTH SERVICES


Address: 8112 Puritan St, Detroit, MI 48238-1139
Phone: 3133401031

AMEDIQUEST HEALTH SERVICES (NPI# 1144414970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144414970
Entity Type Organization
Organization Name AMEDIQUEST HEALTH SERVICES
Other Organization Name NONE
Practice Address 8112 Puritan St
Detroit
MI 48238-1139
Practice Telephone 3133401031
Mailing Telephone 3133401031
Enumeration Date 2007-09-05
Last Update Date 2007-09-05
Authorized Official Name MS. YVETTE A. KOUAYARA (CLINICAL MANAGER)
Authorized Official Telephone 3133401024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
5601001767 MI Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
none Doing Business As Name - Organization

Office Location

Street Address 8112 PURITAN ST
City DETROIT
State MI
Zip Code 48238-1139

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City DETROIT
Zip Code 48238

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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