| Name: | Health Quest, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Jul 2001 (23 years ago) |
| Entity Number: | 000-676-509 |
| Register Number: | 000676509 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | SCOTTSBORO, AL |
| Registered Office Street Address: | 803 EAST LAUREL STSCOTTSBORO, AL 35768 |
| Registered Office Street Address ZIP Code: | 35768 |
Activities
PROVIDE MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760548804 | 2006-12-30 | 2020-05-29 | 515 VETERANS DR, SCOTTSBORO, AL, 357682128, US | 515 VETERANS DR, SCOTTSBORO, AL, 357682128, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-574-3067 |
| Fax | 2565744186 |
Authorized person
| Name | REBECCA HICKS |
| Role | CO-OWNER, PHYSICIAN |
| Phone | 2565743067 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | 14402 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529908740 |
| State | AL |
| Issuer | BCBSAL |
| Number | 515-04522 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HICKS, REBECCA | Agent | 2124 SOUTHWOOD ROADVESTAVIA HILLS, AL 35216 |
| Name | Role | Address |
|---|---|---|
| HICKS, REBECCA | Member | 2124 SOUTHWOOD ROADVESTAVIA HILLS, AL 35216 |
| HICKS, EDWARD D | Member | No data |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
