| Quest Recovery Center, Llc | |
|
112 Harcourt Rd Ste 2 Mount Vernon OH 43050-3944 | |
| (740) 263-7614 | |
| Not Available |
| Full Name | Quest Recovery Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Harcourt Rd Ste 2, Mount Vernon, Ohio |
| Authorized Official Name and Position | Ravyn P. Howell (NURSE PRACTITIONER) |
| Authorized Official Contact | 6822249655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest Recovery Center, Llc 112 Harcourt Rd Ste 2 Mount Vernon OH 43050-3944 Ph: (740) 263-7614 | Quest Recovery Center, Llc 112 Harcourt Rd Ste 2 Mount Vernon OH 43050-3944 Ph: (740) 263-7614 |
| NPI Number | 1104450063 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 3476974718 |
|---|---|
| Medicare Enrollment ID | O20200522000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104450063 | NPI | - | NPPES |
| Provider Name | Kevin C Frey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477783140 PECOS PAC ID: 4587857461 Enrollment ID: I20120618000325 |
| Provider Name | Randheer S Yadav |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902250277 PECOS PAC ID: 7214225713 Enrollment ID: I20161017001834 |
| Provider Name | Ravyn P Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689037582 PECOS PAC ID: 3274811484 Enrollment ID: I20161021002163 |
| Provider Name | Susan Rene Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831551688 PECOS PAC ID: 9739469115 Enrollment ID: I20161130001269 |
| Provider Name | Alesia Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699205799 PECOS PAC ID: 4587936273 Enrollment ID: I20170912000514 |
| Provider Name | Martina M. Kittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780181123 PECOS PAC ID: 2365792561 Enrollment ID: I20180910002251 |
| Provider Name | Samantha Oana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831714914 PECOS PAC ID: 6406279322 Enrollment ID: I20200710002709 |
| Provider Name | Jennifer Amanda Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508424003 PECOS PAC ID: 6002232774 Enrollment ID: I20200812003524 |
| Provider Name | Rachel Colson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154830883 PECOS PAC ID: 8628482585 Enrollment ID: I20210204001128 |
| Provider Name | Ryan Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780363341 PECOS PAC ID: 3678937455 Enrollment ID: I20230912003460 |
| Provider Name | Macy Marie Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871201285 PECOS PAC ID: 5890148035 Enrollment ID: I20240124002602 |
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