Health Quest Wellness Cottonwood LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2070 Issued in NM

Legal business name

HEALTH QUEST WELLNESS COTTONWOOD LLC

Practice address

9664 Eagle Ranch Rd NW Ste a-1
Albuquerque, NM 87114-1578

Phone

(505) 890-9355

NPI assigned

Oct 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allen R Miner, D.C.

Title

President

Phone

(505) 433-4646

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Rodney Justice, D.C.

  • Chiropractor
  • Fayetteville, GA
  • NPI 1275677544

  NM

  Medicare reassignment NPD
• Patrick Joseph Flores, D.C.

  • Chiropractor
  • Albuquerque, NM
  • NPI 1730484627
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1033547302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92348",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871992348",
            "telephone_number": "505-890-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9664 EAGLE RANCH RD NW STE A-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141578",
            "telephone_number": "505-890-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH QUEST WELLNESS COTTONWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-433-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730484627",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Care Service Corporation, a Mutual Legal Reserve Company
• Health Clinic of New Mexico
• Health Quest Albuquerque Acres LLC
• Health Quest Chiropractic LLC
• Health Quest Wellness Central LLC
• Health Quest Wellness Inc.
• Health Quest Wellness Journal Center LLC
• Health Services, LLC
• Healthcare Resources, LLC
• Healthnm, LLC

• Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.