Provider Demographics
NPI:1932393980
Name:HEALTHQUEST MEDICAL INC
Entity type:Organization
Organization Name:HEALTHQUEST MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:GOLDA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:CROW
Authorized Official - Suffix:
Authorized Official - Credentials:RNBSN
Authorized Official - Phone:719-785-1161
Mailing Address - Street 1:1495 GARDEN OF THE GODS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-9441
Mailing Address - Country:US
Mailing Address - Phone:719-260-9797
Mailing Address - Fax:719-260-9799
Practice Address - Street 1:1495 GARDEN OF THE GODS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-9441
Practice Address - Country:US
Practice Address - Phone:719-260-9797
Practice Address - Fax:719-260-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO26542174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty