Quad City Prosthetic Inc

LBN: Quad City Prosthetic Inc
Quad City Prosthetic Inc is an health care organization with primary practice located at 4730 44Th St , Rock Island IL 61201. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Quad City Prosthetic Inc can be contacted via phone (309) 283-0880, or through Goertzen, Donald via phone (309) 676-2276.

Contact Information

Primary practice address
4730 44Th St Rock Island IL 61201
Phone: (309) 283-0880
Fax: (309) 283-0881
Website:
Map and Directions
Authorized official contact:
Name: Goertzen, Donald CPO
Phone: (309) 676-2276

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1215925805
LBN Legal business name Quad City Prosthetic Inc
DBA Doing business as
Authorized official Goertzen, Donald CPO
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2005
Last updated Jul 30th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215925805 NPPES
Wisconsin MEDICAID 41788300
Wisconsin MEDICAID 0933150
Wisconsin MEDICAID 623820305
Wisconsin Other 0008170232
Wisconsin Other 131131100
Wisconsin Other 44119

Popular Providers