Organization Active NPI

CRH MQ LLC

  • Clinic/Center
  • Palm Coast, FL
National Provider Identifier
1659612661
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CRH MQ LLC
Doing business as
MediQuick
Practice address
140 Pinnacles Dr
Palm Coast, FL 32164-2322
Phone
(386) 597-2829
Fax
(386) 313-1923
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
William C Miller
Title
Ceo
Phone
(678) 592-5847

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

140 Pinnacles Dr
Palm Coast, FL 32164-2322

Mailing address

75 14TH St NE
Suite 2700
Atlanta, GA 30309-3604
Phone (404) 815-9569

Other names 1

  • MediQuick Doing business as

National Provider Directory

National Provider Directory

Locations

75 14th St NE
Ste 2700
Atlanta, GA 30309

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1659612661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 14TH ST NE",
            "address_2": "SUITE 2700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093604",
            "telephone_number": "404-815-9569",
            "fax_number": "404-410-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PINNACLES DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642322",
            "telephone_number": "386-597-2829",
            "fax_number": "386-313-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRH MQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-592-5847"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediQuick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.