Provider Demographics
NPI:1528896479
Name:QUANTUM HEALTHCARE LLC
Entity type:Organization
Organization Name:QUANTUM HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSBIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-770-2828
Mailing Address - Street 1:1000 E BLUFF VIEW DR UNIT 80
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-8908
Mailing Address - Country:US
Mailing Address - Phone:773-766-7081
Mailing Address - Fax:331-336-5644
Practice Address - Street 1:463 VONS WAY DRIVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:UT
Practice Address - Zip Code:84332
Practice Address - Country:US
Practice Address - Phone:435-770-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty