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Contact Information

HCR MANOR CARE
815 E LOCUST ST
DAVENPORT, IA52803-4345
 Phone: 563-324-3276
 Fax: 563-324-8844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for HCR MANOR CARE

NPI Number 1316011323
LBN Legal business name HCR MANOR CARE
Authorized official ANGELA PETERSON - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA Medicaid 0807099
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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