NPIMap

Organization Active NPI

Mediquest Inc

  • Durable Medical Equipment & Medical Supplies
  • Rogers, AR
National Provider Identifier
1417929423
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDIQUEST INC
Practice address
200-202 S. 24TH Street
Rogers, AR 72758-1129
Phone
(479) 636-9700
Fax
(479) 636-9707
NPI assigned
Feb 3, 2006
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Mr. Hunter Burroughs
Title
President Owner
Phone
(479) 636-9700

Specialties & licenses 1

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

Addresses

Primary practice location

200-202 S. 24TH Street
Rogers, AR 72758-1129

Mailing address

PO Box 1784
Bentonville, AR 72712-1784
Phone (479) 636-9700

Other identifiers 1

IdentifierTypeStateIssuer
145876716MedicaidAR

National Provider Directory

National Provider Directory

Locations

181 S 40th St
Ste B
Springdale, AR 72762

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1417929423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1784",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727121784",
            "telephone_number": "479-636-9700",
            "fax_number": "479-636-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200-202 S. 24TH STREET",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581129",
            "telephone_number": "479-636-9700",
            "fax_number": "479-636-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "479-636-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145876716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.