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Contact Information

QUAD CITY HELICOPTER EMERGENCY MEDICAL SERVICE
6343 WOLF RD
COLONA, IL61241-8963
 Phone: 309-796-0373
 Fax: 309-796-9283
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Air Transport

3416A0800X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for QUAD CITY HELICOPTER EMERGENCY MEDICAL SERVICE

NPI Number 1891872552
LBN Legal business name QUAD CITY HELICOPTER EMERGENCY MEDICAL SERVICE
Authorized official GINA TAKACS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # 8001701
IA License # 8291700
IL License # 2 251801
IL License # 2 251802
IA Medicaid 0222737
IA Other 24000 BLUE CROSS OF IOWA
IL Other 03732004 BLUE CROSS OF IL
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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