| Morrison Community Hospital Specialist Clinic | |
|
4622 Progress Dr Ste C Davenport IA 52807-3426 | |
| (815) 772-5505 | |
| (815) 772-5591 |
| Full Name | Morrison Community Hospital Specialist Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4622 Progress Dr Ste C, Davenport, Iowa |
| Authorized Official Name and Position | Pam Pfister (CEO) |
| Authorized Official Contact | 8157725530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morrison Community Hospital Specialist Clinic 303 N Jackson St Morrison IL 61270-3042 Ph: (815) 772-4003 | Morrison Community Hospital Specialist Clinic 4622 Progress Dr Ste C Davenport IA 52807-3426 Ph: (815) 772-5505 |
| NPI Number | 1407463649 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 05/11/2022 |
| Medicare PECOS PAC ID | 2466349907 |
|---|---|
| Medicare Enrollment ID | O20201230000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407463649 | NPI | - | NPPES |
| 1811191299 | Other | BCBSIL | |
| 1619957180 | Other | PHYSICIAN NPI | |
| 1982675542 | Other | PHYSICIAN NPI | |
| 1174644629 | Medicaid | IA | |
| 1831708288 | Other | NURSE PRACTITIONER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ricky P Maddox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982675542 PECOS PAC ID: 3577469360 Enrollment ID: I20040116000505 |
| Provider Name | James R Olney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467403048 PECOS PAC ID: 4486543279 Enrollment ID: I20100125000142 |
| Provider Name | Abdullah Foad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619957180 PECOS PAC ID: 3173666484 Enrollment ID: I20100209000697 |
| Provider Name | Bradley Ray Harper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184697583 PECOS PAC ID: 5597758227 Enrollment ID: I20240311000778 |
Millennium Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5260 Northwest Blvd, Suite 2, Davenport, IA 52806 Phone: 563-445-2400 Fax: 563-445-2404 | |
Renee D Lass Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4626 Progress Dr Ste B, Davenport, IA 52807 Phone: 563-359-3736 Fax: 563-359-0153 | |
Quad Cities Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3509 Spring St, Suite 3, Davenport, IA 52807 Phone: 563-359-5011 Fax: 359-355-3438 | |
Community Health Care, Inc. Outreach Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 W 4th St, Davenport, IA 52802 Phone: 563-336-3000 Fax: 563-336-3125 | |
Genesis Health Group Davenport Clinic Health Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 W 3rd St, Davenport, IA 52802 Phone: 563-421-0500 Fax: 563-326-1901 | |
Quad Cities Pediatrics, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807 Phone: 563-424-2025 Fax: 563-424-2042 | |
Genesis Convenient Care Davenport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 W 53rd St, Davenport, IA 52806 Phone: 563-421-3800 Fax: 563-421-3810 |