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Contact Information

QUAD CITY PROSTHETIC INC
4730 44TH ST
ROCK ISLAND, IL61201
 Phone: 309-283-0880
 Fax: 309-283-0881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for QUAD CITY PROSTHETIC INC

NPI # 1215925805
LBN Legal business name QUAD CITY PROSTHETIC INC
Authorized official AMIT BHANTI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2005
Last updated 09/24/2024 - More than a year ago
Identifiers
IA Medicaid 0933150
MO Medicaid 623820305
WI Medicaid 41788300
Other 131131100 US DEPT OF LABOR
IA Other 44119 WELLMARK BLUE CROSS
IL Other 0008170232 BLUE CROSS BLUE SHIELD
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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