Provider Demographics
NPI:1912932567
Name:MEDQUEST INC
Entity Type:Organization
Organization Name:MEDQUEST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MONSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-774-7408
Mailing Address - Street 1:1602 11TH ST W
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-4506
Mailing Address - Country:US
Mailing Address - Phone:701-774-7438
Mailing Address - Fax:701-774-7473
Practice Address - Street 1:1602 11TH ST W
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-4506
Practice Address - Country:US
Practice Address - Phone:701-774-7438
Practice Address - Fax:701-774-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND114808332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0566358Medicaid
ND55779Medicaid
ND7775OtherBLUE CROSS
MT0566358Medicaid