| Rosecrance Inc | |
|
4900 38th Ave Ste 5 Moline IL 61265-6707 | |
| (815) 391-1000 | |
| Not Available |
| Full Name | Rosecrance Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4900 38th Ave Ste 5, Moline, Illinois |
| Authorized Official Name and Position | David Gomel (CEO) |
| Authorized Official Contact | 8153911000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrance Inc 1021 N Mulford Rd Rockford IL 61107-3874 Ph: (815) 387-5623 | Rosecrance Inc 4900 38th Ave Ste 5 Moline IL 61265-6707 Ph: (815) 391-1000 |
| NPI Number | 1639892698 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639892698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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