Provider Demographics
NPI:1609557321
Name:QUALITY HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:QUALITY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-324-8227
Mailing Address - Street 1:1200 MENDELSSOHN AVE N STE 208
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4376
Mailing Address - Country:US
Mailing Address - Phone:763-324-8225
Mailing Address - Fax:763-210-5849
Practice Address - Street 1:1200 MENDELSSOHN AVE N STE 208
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4376
Practice Address - Country:US
Practice Address - Phone:763-324-8225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center