Provider Demographics
NPI:1114548534
Name:QUILTED HEALTH PROFESSIONAL SERVICES CORPORATION
Entity Type:Organization
Organization Name:QUILTED HEALTH PROFESSIONAL SERVICES CORPORATION
Other - Org Name:QUILTED HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:CPM, LM
Authorized Official - Phone:360-620-4517
Mailing Address - Street 1:1329 N 47TH ST UNIT 31112
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6787
Mailing Address - Country:US
Mailing Address - Phone:310-367-0355
Mailing Address - Fax:833-783-0002
Practice Address - Street 1:4311 11TH AVE NE FL 5
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6366
Practice Address - Country:US
Practice Address - Phone:310-367-0355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty