Organization · NPI-2

Crh Mq LLC

Clinic/Center · Palm Coast, FL

NPI number1659612661
StatusActive
Last updated in NPPESMar 15, 2013

Details

NPI
1659612661
Entity type
Organization (NPI-2)
Legal business name
Crh Mq LLC
Organization subpart
No
Enumeration date
Mar 15, 2013
Last updated
Mar 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
261QU0200X Clinic/Center, Urgent Care––

Other names

  • Mediquick (Doing Business As)

Practice location

140 Pinnacles Dr
Palm Coast, FL 32164-2322

Phone 386-597-2829 · Fax 386-313-1923

Mailing address

75 14th St Ne
Suite 2700
Atlanta, GA 30309-3604

Phone 404-815-9569 · Fax 404-410-4019

Authorized official

William C Miller
Ceo
6785925847

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