Provider Demographics
NPI:1427192491
Name:MED QUICK INC
Entity Type:Organization
Organization Name:MED QUICK INC
Other - Org Name:HEARTLAND PHARMACY & MEDICAL SUPPLY, HEARTLAND INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-386-0081
Mailing Address - Street 1:6360 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1225
Mailing Address - Country:US
Mailing Address - Phone:863-386-0081
Mailing Address - Fax:863-385-5118
Practice Address - Street 1:6364 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1225
Practice Address - Country:US
Practice Address - Phone:863-471-6557
Practice Address - Fax:863-471-6881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH10353332B00000X, 332BP3500X, 332BX2000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1088485OtherNCPDP NUMBER
FLP8291OtherBCBS PROVIDER NUMBER
FL1088485OtherNCPDP NUMBER