Healthqwest LLC
Clinic/Center, Methadone Clinic in Douglasville, Georgia
1730482621- Practice location
- 2109 Fairburn RD Ste A, Douglasville, GA 30135-1037
- Phone
- 770-726-7958
- Fax
- 770-693-0829
- Last updated
- September 2, 2020
Healthqwest LLC is a healthcare organization based in Douglasville, GA. Healthqwest LLC practices in Douglasville, GA. The NPI Number for Healthqwest LLC is 1730482621 and holds a License No. PHOP000056 (GA). The current practice location address for Healthqwest LLC is 2109 Fairburn RD Ste A, Douglasville, GA 30135-1037 and can be reached out via phone at 770-726-7958 and via fax at 770-693-0829.
Provider Profile Details
- NPI Number
- 1730482621
- Provider Name
- Healthqwest LLC
- Provider Entity Type
- Organization
- Address
- 2109 Fairburn RD Ste A, Douglasville, GA 30135-1037
- Phone Number
- 770-726-7958
- Fax Number
- 770-693-0829
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Robyn Tanis · Executive Director Of Contract Mgmt · 856-533-8762
- Provider Enumeration Date
- December 15, 2010
- Last Update Date
- September 2, 2020
- Certification Date
- September 2, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2109 Fairburn RD Ste A
Douglasville, GA 30135-1037 - City
- Douglasville
- State
- Georgia
- Zip
- 30135-1037
- Phone Number
- 770-726-7958
- Fax Number
- 770-693-0829
Provider Business Mailing Address Details
- Address
- 1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202 - City
- Mount Laurel
- State
- NJ
- Zip
- 08054-2202
- Phone Number
- 856-439-6111
License Information
- License Number (1)
- PHOP000056
- License State (1)
- GA
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Clinic/Center, Recovery Care · 261QR0800X
- Taxonomy (3)
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Healthqwest LLC?
The NPI number of Healthqwest LLC is 1730482621. It was assigned on December 15, 2010 and is currently active in the NPPES registry.
What is the specialty of Healthqwest LLC?
Healthqwest LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in GA under license number PHOP000056.
Where does Healthqwest LLC practice?
The practice location is 2109 Fairburn RD Ste A, Douglasville, GA 30135-1037. The office can be reached at 770-726-7958 (phone) or 770-693-0829 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730482621 directly on the NPPES registry website.