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QUAD CITY CLINIC SC NPI 1710966205


NPI Information

NPI: 1710966205
Provider Name: QUAD CITY CLINIC SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4322 7TH ST
MOLINE, IL
ZIP 61265
Phone: (309) 762-5501
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QUAD CITY CLINIC SC is a family medicine in Moline, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. QUAD CITY CLINIC SC NPI is 1710966205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4322 7TH ST
MOLINE, IL
ZIP 61265-867
Phone: (309) 762-5501
Fax: (309) 762-7434

The provider's authorized official is Eric A Alfon .
The authorized official title is President and has the following contact phone number (309) 762-5501.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 4/10/2008.


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
1207Q00000XFamily MedicineINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE3128OTHERILLINOISMEDICARE RAILROAD
2F53492MEDICARE UPIN
3212930MEDICARE PINILLINOIS

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: 11/14/2023

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