1659807238 NPI number — JOSEPH LESCANO - MEDQUEST MEDICAL SUPPLY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659807238 NPI number — JOSEPH LESCANO - MEDQUEST MEDICAL SUPPLY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSEPH LESCANO - MEDQUEST MEDICAL SUPPLY
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:
Provider Other Organization Name Type Code:
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:
1659807238
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 4445
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PAGO PAGO
Provider Business Mailing Address State Name:
AS
Provider Business Mailing Address Postal Code:
96799
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
684-633-2838
Provider Business Mailing Address Fax Number:
684-633-5838

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4445 G/F
Provider Second Line Business Practice Location Address:
PAGO PLAZA BLDG.
Provider Business Practice Location Address City Name:
PAGO PAGO
Provider Business Practice Location Address State Name:
AS
Provider Business Practice Location Address Postal Code:
96799
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
684-633-2838
Provider Business Practice Location Address Fax Number:
684-633-5838
Provider Enumeration Date:
05/03/2017

Additional Information

Authorized Official

Authorized Official Last Name:
LESCANO
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER/MANAGER
Authorized Official Telephone Number:
971-646-6875

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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