Provider Demographics
NPI:1588732796
Name:LINDQUIST FAMILY FOOT CARE, INC
Entity type:Organization
Organization Name:LINDQUIST FAMILY FOOT CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LINDQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:CPED, COF
Authorized Official - Phone:814-359-3259
Mailing Address - Street 1:141 E COLLEGE AVE
Mailing Address - Street 2:P.O. BOX 5284
Mailing Address - City:PLEASANT GAP
Mailing Address - State:PA
Mailing Address - Zip Code:16823-3352
Mailing Address - Country:US
Mailing Address - Phone:814-359-3259
Mailing Address - Fax:814-359-3330
Practice Address - Street 1:141 E COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:PLEASANT GAP
Practice Address - State:PA
Practice Address - Zip Code:16823-3352
Practice Address - Country:US
Practice Address - Phone:814-359-3259
Practice Address - Fax:814-359-3330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA83430-173LOtherGEISINGER HEALTH PLAN
PA39HB25OtherCAPITAL BLUECROSS
PA1528480OtherHIGHMARK
PA226136OtherHEALTH AMERICA
PA39HB25OtherCAPITAL BLUECROSS