Rock Island County Council On Addictions

LBN: Ricca
Rock Island County Council On Addictions is an health care organization with primary practice located at 1607 John Deere Rd , East Moline IL 61244-9662. The organization recently has 2 registered licenses in different health care specialties including Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Ricca can be contacted via phone (309) 792-0292, or through Engholm, Mary J. via phone (309) 792-0292.

Contact Information

Primary practice address
1607 John Deere Rd East Moline IL 61244-9662
Phone: (309) 792-0292
Fax: (309) 792-1121
Website:
Map and Directions
Authorized official contact:
Name: Engholm, Mary J. CADC, CAMS II
Phone: (309) 792-0292

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X A-0625-0004-A Illinois
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Illinois

Profile Details

NPI number 1639298706
LBN Legal business name Ricca
DBA Doing business as Rock Island County Council On Addictions
Authorized official Engholm, Mary J. CADC, CAMS II
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 17th, 2017 - about 7 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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