Healthcare Provider Details

I. General information

NPI: 1518964477
Provider Name (Legal Business Name): HEALTHQUEST, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 04/01/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5134 SUNDIAL PARK GALLOWS BAY
CHRISTIANSTED VI
00820-4673
US

IV. Provider business mailing address

PO BOX 1728
CHRISTIANSTED VI
00821-1728
US

V. Phone/Fax

Practice location:
  • Phone: 340-773-3227
  • Fax: 340-773-8997
Mailing address:
  • Phone: 340-773-3227
  • Fax: 340-773-8997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WALTER HERMSWORTH GARDINER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 340-773-3227