Provider Demographics
NPI:1083644918
Name:QA HEALTHCARE
Entity Type:Organization
Organization Name:QA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-729-2515
Mailing Address - Street 1:15401 MCMULLEN HWY SW
Mailing Address - Street 2:PO BOX 870
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6200
Mailing Address - Country:US
Mailing Address - Phone:301-729-2515
Mailing Address - Fax:301-723-1594
Practice Address - Street 1:15401 MCMULLEN HWY SW
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-6200
Practice Address - Country:US
Practice Address - Phone:301-729-2515
Practice Address - Fax:301-723-1594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDZ491QAOtherBCBS
WV0146707000Medicaid
0428580001Medicare ID - Type UnspecifiedREGION B