Organization Active NPI

Amediquest Health Services

  • Health Service Clinic/Center
  • Detroit, MI
National Provider Identifier
1144414970
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5601001767 Issued in MI
Legal business name
AMEDIQUEST HEALTH SERVICES
Doing business as
none
Practice address
8112 Puritan St
Detroit, MI 48238-1139
Phone
(313) 340-1031
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Ms. Yvette A. Kouayara
Title
Clinical Manager
Phone
(313) 340-1024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 5601001767 MI Primary

Addresses

Primary practice location

8112 Puritan St
Detroit, MI 48238-1139

Mailing address

8112 Puritan St
Detroit, MI 48238-1139
Phone (313) 340-1031

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Locations

8112 Puritan St
Detroit, MI 48238
Phone (313) 340-1031

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1144414970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 PURITAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381139",
            "telephone_number": "313-340-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 PURITAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381139",
            "telephone_number": "313-340-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDIQUEST HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "KOUAYARA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "313-340-1024",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "5601001767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.