Quad City Prosthetic Inc in Peoria - Prosthetic/orthotic Supplier
Quad City Prosthetic Inc - NPI 1215925805
Quad City Prosthetic Inc is a Prosthetic/orthotic Supplier in Peoria, Illinois. Quad City Prosthetic Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Quad City Prosthetic Inc is 1215925805. The last update date is 2018-07-30.
Quad City Prosthetic Inc's current location address is 741 W Main St, Peoria, Illinois. You can contact this provider via phone number 8003345705 and fax number 8886636322. The mailing address for Quad City Prosthetic Inc is 741 W Main St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Quad City Prosthetic Inc |
|---|---|
| Address | 741 W Main St, Peoria, Illinois |
| Phone Number | 8003345705 |
| Fax Number | 8886636322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goertzen Donald |
| Credentials | CPO |
| Telephone Number | 3096762276 |
NPI Number Detail
| NPI Number | 1215925805 |
|---|---|
| Provider Enumeration Date | 2005-10-09 |
| Last Updated Date | 2018-07-30 |
Provider Mailing Address Detail
| Address | 741 W Main St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616061953 |
| Phone Number | 8003345705 |
| Fax Number | 8886636322 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41788300 | WI | -- | |
| 933150 | IA | -- | |
| 623820305 | MO | -- | |
| 8170232 | IL | BLUE CROSS BLUE SHIELD | |
| 131131100 | US DEPT OF LABOR | ||
| 44119 | IA | WELLMARK BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Quad City Prosthetic Inc by the Centers for Medicare & Medicaid Services?
The Quad City Prosthetic Inc has been assigned the NPI (National Provider Identifier) 1215925805 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Quad City Prosthetic Inc is physically located?
The Quad City Prosthetic Inc is physically situated at the following address: 741 W Main St, Peoria, IL, 616061953.
What is Quad City Prosthetic Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Quad City Prosthetic Inc is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
On what date was the 1215925805 assigned to Quad City Prosthetic Inc?
The Quad City Prosthetic Inc was issued its 1215925805 on 2005-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Quad City Prosthetic Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Quad City Prosthetic Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-07-30.