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Contact Information

CRG EM OPERATOR, LLC
430 30TH AVE
EAST MOLINE, IL61244-3152
 Phone: 309-755-3466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

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

NPI Profile & details for CRG EM OPERATOR, LLC

NPI Number 1558670455
LBN Legal business name CRG EM OPERATOR, LLC
Authorized official JEFFREY KAGAN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2010
Last updated 02/11/2011 - About 15 years ago
Identifiers
Other 14-6041 MEDICARE CERTIFICATION NUMBER
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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