City Of Moline

LBN: City Of Moline
City Of Moline is an health care organization with primary practice located at 1630 8Th Ave , Moline IL 61265-2116. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. City Of Moline can be contacted via phone (309) 524-2250, or through Sederstrom, Ivan Luverne via phone (309) 524-2257.

Contact Information

Primary practice address
1630 8Th Ave Moline IL 61265-2116
Phone: (309) 524-2250
Fax: (309) 524-2270
Website:
Map and Directions
Authorized official contact:
Name: Sederstrom, Ivan Luverne
Phone: (309) 524-2257

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 22537 Illinois
Transportation Services / Ambulance 341600000X 02253702 Illinois

Profile Details

NPI number 1760489199
LBN Legal business name City Of Moline
DBA Doing business as
Authorized official Sederstrom, Ivan Luverne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 21st, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760489199 NPPES
Illinois Other 590918082 RR MEDICARE
Illinois MEDICAID 0977744 RR MEDICARE

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