Provider Demographics
NPI:1922266568
Name:MCN QUAD HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:MCN QUAD HEALTH SERVICES, INC
Other - Org Name:MCN CONSULTANTS NETWORK, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-343-6100
Mailing Address - Street 1:1200 6TH AVE STE 1800
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-5300
Mailing Address - Country:US
Mailing Address - Phone:206-343-6100
Mailing Address - Fax:206-812-6410
Practice Address - Street 1:1 HUNTINGTON QUADRANGLE
Practice Address - Street 2:SUITE 3C-10
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4401
Practice Address - Country:US
Practice Address - Phone:631-454-8399
Practice Address - Fax:631-454-8522
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL CONSULTANTS NETWORK, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4528129305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization