| Golden Center For Health & Healing, Llc | |
|
319 18th St Rock Island IL 61201-8715 | |
| (309) 781-0805 | |
| (309) 429-6471 |
| Full Name | Golden Center For Health & Healing, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 319 18th St, Rock Island, Illinois |
| Authorized Official Name and Position | John W. Golden (OWNER) |
| Authorized Official Contact | 3097810805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Center For Health & Healing, Llc 2445 31st Avenue Ct Moline IL 61265-6941 Ph: (309) 781-0805 | Golden Center For Health & Healing, Llc 319 18th St Rock Island IL 61201-8715 Ph: (309) 781-0805 |
| NPI Number | 1437783875 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 03/02/2020 |
| Medicare PECOS PAC ID | 8921436783 |
|---|---|
| Medicare Enrollment ID | O20200310002568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437783875 | NPI | - | NPPES |
| 036-062709 | Other | IL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | John Willard Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417943499 PECOS PAC ID: 9739174293 Enrollment ID: I20040415000858 |
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