NPIMap

Organization Active NPI

Mediquest Inc

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
National Provider Identifier
1306152327
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDIQUEST INC
Practice address
813 N Main St
Harrison, AR 72601-2914
Phone
(479) 743-5005
Fax
(479) 750-7462
NPI assigned
Aug 27, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDIQUEST INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Mailan Oliquino Pineda
Title
Medical It Administrator
Phone
(479) 750-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR Primary

Addresses

Primary practice location

813 N Main St
Harrison, AR 72601-2914

Mailing address

813 N Main St
Harrison, AR 72601-2914
Phone (479) 743-5005

Other identifiers 2

IdentifierTypeStateIssuer
4136500001OtherARMEDICARE PTAN
145876716MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Mediquest Inc3 organizations share this tax ID, including this one
Part of
Mediquest Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

813 N Main St
Harrison, AR 72601
Phone (479) 743-5005

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306152327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012914",
            "telephone_number": "479-743-5005",
            "fax_number": "479-750-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012914",
            "telephone_number": "479-743-5005",
            "fax_number": "479-750-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUEST INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDIQUEST INC.",
        "enumeration_date": "2010-08-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "MAILAN",
        "authorized_official_middle_name": "OLIQUINO",
        "authorized_official_title_or_position": "MEDICAL IT ADMINISTRATOR",
        "authorized_official_telephone_number": "479-750-7463",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4136500001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145876716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.