1306384672 NPI number — HEALTH QUALITY INC.

Table of content: (NPI 1306384672)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306384672 NPI number — HEALTH QUALITY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH QUALITY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HEALTH QUALITY PRIMARY CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306384672
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
290 MERRIMACK ST
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
LAWRENCE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01843-1782
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-905-5549
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1017 OSGOOD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH ANDOVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-655-5349
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2017

Additional Information

Authorized Official

Authorized Official Last Name:
BAEZ
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
RIGOBERTO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
978-905-5549

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , with the licence number:  216181 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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