<unavail> in Moline, IL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Moline, Illinois. The current practice location for is 1106 4th Ave, Moline, Illinois. For appointments, you can reach them via phone at (563) 327-2000. The mailing address for is 500 W River Dr, Davenport, Iowa and phone number is (563) 336-3000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1710971486. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (563) 327-2000.

Contact Information


	1106 4th Ave Moline IL 61265-0000
	(563) 327-2000
	(563) 327-2045

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1106 4th Ave, Moline, Illinois
Authorized Official Name and Position	Thomas J Bowman (CEO)
Authorized Official Contact	5633363000
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
500 W River Dr Davenport IA 52801-1014 Ph: (563) 336-3000	1106 4th Ave Moline IL 61265-0000 Ph: (563) 327-2000

NPI Details:

NPI Number	1710971486
Provider Enumeration Date	09/08/2005
Last Update Date	04/18/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	9830008895
Medicare Enrollment ID	O20030408000047

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710971486	NPI	-	NPPES
113373	Other	IL	UNITED HEALTH CARE
14D1020508	Other	IL	CLIA
8122859	Other	IL	IL BC/BS GROUP#
91681	Other	IA	IA BC/BS GROUP #
I12619	Other	IA	INDEPENDANT LAB
0568998	Medicaid	IA
CP8565	Other	IL	RAILROAD MEDICARE GROUP #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
291U00000X	Clinical Medical Laboratory	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Moline, IL

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- Medicare Primary Care in Moline, IL