<Unavail>
LBN: River Bend Christian Counseling Inc
<Unavail> is an health care organization with primary practice located at 111 19Th Ave , Moline IL 61265. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
River Bend Christian Counseling Inc can be contacted via phone (309) 757-0300, or through Doyle, Al R via phone (309) 757-0300.
Contact Information
Primary practice address
111 19Th Ave
Moline IL 61265
Phone: (309) 757-0300
Fax: (309) 757-0400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | A-3692-0001-A | Illinois |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | A-3692-0001-A | Illinois |
Profile Details
| NPI number | 1639170285 |
|---|---|
| LBN Legal business name | River Bend Christian Counseling Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Doyle, Al R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Jun 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639170285 | NPPES |
| Illinois | MEDICAID | 1639170285 |
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