Quad Cities Kidney Center, Ltd.

LBN: Quad Cities Kidney Center, Ltd.
Quad Cities Kidney Center, Ltd. is an health care organization with primary practice located at 120 W Locust St , Davenport IA 52803-2826. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Quad Cities Kidney Center, Ltd. can be contacted via phone (563) 323-3300, or through Alla, Rajesh via phone (309) 762-5570.

Contact Information

Primary practice address
120 W Locust St Davenport IA 52803-2826
Phone: (563) 323-3300
Fax: (563) 323-1045
Website:
Map and Directions
Authorized official contact:
Name: Alla, Rajesh Doctor of Medicine (MD)
Phone: (309) 762-5570

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1700885803
LBN Legal business name Quad Cities Kidney Center, Ltd.
DBA Doing business as
Authorized official Alla, Rajesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 29th, 2014 - about 12 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 1700885803 NPPES
Iowa MEDICAID 0625079
Iowa Other 62507

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