Active NPI
CRH MQ LLC
- Clinic/Center
- Palm Coast, FL
National Provider Identifier
1659612661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.