MEDIQUEST INC (NPI# 1629384664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629384664 |
| Entity Type | Organization |
| Organization Name | MEDIQUEST INC |
| Practice Address |
1204 Se 28th St Suite 12 Bentonville AR 72712-3881 |
| Practice Telephone | 4794648833 |
| Practice Fax Number | 4797507462 |
| Mailing Telephone | 4794648833 |
| Mailing Fax Number | 4797507462 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Authorized Official Name | MR. MAILAN OLIQUINO PINEDA (MEDICAL IT ADMINISTRATOR) |
| Authorized Official Telephone | 4797507463 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDIQUEST INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE PTAN | 4136500001 | 01 |
| AR | 145876716 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417929423 | Mediquest Inc | Durable Medical Equipment & Medical Supplies | 200-202 S. 24th Street, Rogers, AR 72758-1129 | 2006-02-03 |
| 1306152327 | Mediquest Inc | Durable Medical Equipment & Medical Supplies | 813 N Main St, Harrison, AR 72601-2914 | 2010-08-27 |
| Street Address |
1204 SE 28TH ST SUITE 12 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-3881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841660966 | Jonathan Gintonio | Pharmacist | 1204 Se 28th St, Suite 2, Bentonville, AR 72712-3881 | 2015-10-01 |
| 1649518200 | Prevention Plus, Inc. | Family Medicine | 1204 Se 28th St, Suite 2, Bentonville, AR 72712-3881 | 2013-01-16 |
| 1225318793 | Meredith Collin Holderfield | Pharmacist | 1204 Se 28th St, Suite 2, Bentonville, AR 72712-3881 | 2011-08-27 |
| 1376841171 | Feet Plus Solutions Inc | Internal Medicine | 1204 Se 28th St, Bentonville, AR 72712-3881 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316452816 | Btw Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1401 Se Walton Blvd Ste 201, Bentonville, AR 72712-3768 | 2017-12-06 |
| 1881120699 | 4b Ortho Supply | Durable Medical Equipment & Medical Supplies | 807 Sw I St Ste 17, Bentonville, AR 72712-6236 | 2017-05-11 |
| 1518345966 | Amerita, Inc. | Durable Medical Equipment & Medical Supplies | 2709 Otis Corley Dr, Suite 19, Bentonville, AR 72712-3864 | 2015-05-18 |
| 1235525262 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1400 N Walton Blvd, Bentonville, AR 72712-4676 | 2015-04-07 |
| 1881098499 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1703 E Central Ave, Bentonville, AR 72712-5523 | 2014-10-13 |
| 1992122808 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1800 E Centerton Blvd, Bentonville, AR 72712-9376 | 2014-03-28 |
| 1922349901 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 906 Sw Airport Blvd, Bentonville, AR 72712 | 2013-03-15 |
| 1538399233 | Pams Pllc | Durable Medical Equipment & Medical Supplies | 907 Se Village Loop, Suite 1, Bentonville, AR 72712-4320 | 2009-07-16 |
| 1376726968 | Smith Fs2 Inc | Durable Medical Equipment & Medical Supplies | 3301 S Walton Blvd, Suite 21, Bentonville, AR 72716-0001 | 2007-12-06 |
| 1689717142 | Medequip Home Medical Supplies | Durable Medical Equipment & Medical Supplies | 1401 Se Walton Blvd Ste 107, Bentonville, AR 72712-3772 | 2007-02-15 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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| 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.