Quad City Clinic Sc

LBN: Quad City Clinic Sc
Quad City Clinic Sc is an health care organization with primary practice located at 4322 7Th St , Moline IL 61265-6867. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Quad City Clinic Sc can be contacted via phone (309) 762-5501, or through Alfon, Eric A via phone (309) 762-5501.

Contact Information

Primary practice address
4322 7Th St Moline IL 61265-6867
Phone: (309) 762-5501
Fax: (309) 762-7434
Website:
Map and Directions
Authorized official contact:
Name: Alfon, Eric A Doctor of Medicine (MD)
Phone: (309) 762-5501

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Indiana

Profile Details

NPI number 1710966205
LBN Legal business name Quad City Clinic Sc
DBA Doing business as
Authorized official Alfon, Eric A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated Apr 10th, 2008 - about 16 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 1710966205 NPPES
Illinois Other DE3128 MEDICARE RAILROAD

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