ROSECRANCE NEW LIFE OUTPATIENT CENTER (NPI# 1154490985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154490985 |
| Entity Type | Organization |
| Organization Name | ROSECRANCE NEW LIFE OUTPATIENT CENTER |
| Other Organization Name | NEW OUTPATIENT CENTER |
| Practice Address |
2322 E Kimberly Rd Ste 200 Paul Revere Sq Davenport IA 52807-3042 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 5633550055 |
| Practice Fax Number | 5633550101 |
| Mailing Telephone | 8153911000 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | JOHN SCHUSTER (SENIOR VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 8153875642 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROSECRANCE HEALTH NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1231 | IA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New Outpatient Center | Doing Business As Name - Organization |
| Street Address |
2322 E KIMBERLY RD STE 200 PAUL REVERE SQ |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951168 | Sober Strategies Inc. | Clinic/Center | 2655 100th St, Urbandale, IA 50322-3808 | 2020-01-17 |
| 1285275875 | New Journey Addiction Counseling, LLC. | Clinic/Center | 208 5th St Ste 150, Ames, IA 50010-6259 | 2019-10-04 |
| 1003289323 | New Beginnings Mental Health Therapy Services | Clinic/Center | 709 Cottonwood Rd, Creston, IA 50801-1914 | 2015-11-09 |
| 1043581648 | Zion Recovery Services, Inc. | Clinic/Center | 615 Northwest Rd, Shenandoah, IA 51601-1199 | 2012-01-13 |
| 1851669378 | Zion Recovery Services, Inc. | Clinic/Center | 2812 1st Ave, Perry, IA 50220-9709 | 2011-12-12 |
| 1699043117 | Zion Recovery Services, Inc. | Clinic/Center | 121 S 15th St, Suite B, Clarinda, IA 51632-2249 | 2011-12-12 |
| 1780952200 | Zion Recovery Services, Inc. | Clinic/Center | 90 E Hickman Rd, Waukee, IA 50263-5011 | 2011-12-12 |
| 1326316845 | Zion Recovery Services, Inc. | Clinic/Center | 403 E Coolbaugh St, Red Oak, IA 51566-2319 | 2011-12-12 |
| 1023386547 | Zion Recovery Services, Inc. | Clinic/Center | 132 Southeast Court Dr., Greenfield, IA 50849-0255 | 2011-12-12 |
| 1326266792 | New Opportunities, Inc. | Clinic/Center | 23751 Hwy 30, Carroll, IA 51401-0427 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.