Quad City Ambulatory Surgery Center Llc

LBN: Quad City Ambulatory Surgery Center Llc
Quad City Ambulatory Surgery Center Llc is an health care organization with primary practice located at 520 Valley View Drive Ste #300, Moline IL 61265. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Quad City Ambulatory Surgery Center Llc can be contacted via phone (309) 762-1952, or through Gerdes, Michael via phone (309) 762-1952.

Contact Information

Primary practice address
520 Valley View Drive Ste #300 Moline IL 61265
Fax: (309) 762-6075
Website:
Authorized official contact:
Name: Gerdes, Michael Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Illinois

Profile Details

NPI number 1487612024
LBN Legal business name Quad City Ambulatory Surgery Center Llc
DBA Doing business as
Authorized official Gerdes, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1487612024 NPPES
Other 92304 BCIA
Other 50034 BCIA

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