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THE BRIDGE CLINIC OF ROCKOFRD NPI 1154798916


NPI Information

NPI: 1154798916
Provider Name: THE BRIDGE CLINIC OF ROCKOFRD
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
318 N CHURCH ST
ROCKFORD, IL
ZIP 61101
Phone: (815) 494-1594
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THE BRIDGE CLINIC OF ROCKOFRD is a voluntary or charitable in Rockford, IL. THE BRIDGE CLINIC OF ROCKOFRD NPI is 1154798916. The provider is registered as an organization entity type.

The provider's business location address is:

318 N CHURCH ST
ROCKFORD, IL
ZIP 61101-006
Phone: (815) 494-1594

The provider's authorized official is Annette Olin .
The authorized official title is Medical Director and has the following contact phone number (815) 494-1594.

The enumeration date for this NPI number is 8/27/2015 and was last updated on 8/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareNo
2251V00000XVoluntary or CharitableYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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