MOMS LACTATION RESOURCE CENTER (NPI# 1255803466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255803466 |
| Entity Type | Organization |
| Organization Name | MOMS LACTATION RESOURCE CENTER |
| Practice Address |
506 N Elida Winnebago IL 61088 |
| Mailing Address |
984 Westridge Dr. Rockford IL 61102 |
| Practice Telephone | 8152224596 |
| Mailing Telephone | 8152224596 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Authorized Official Name | JENNIFER BECK (CO-MANAGER) |
| Authorized Official Telephone | 8152224596 |
| Authorized Official Credential | IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1821569120 | 05 | |
| IL | 187065250 | 05 |
| Street Address |
506 N ELIDA |
| City | WINNEBAGO |
| State | IL |
| Zip Code | 61088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065250 | Jennifer Sue Beck | Lactation Consultant, Non-RN | 506 N Elida, Winnebago, IL 61088 | 2018-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821569120 | Paula R Hart | Registered Nurse | 503 N. Elida St., Winnebago, IL 61088 | 2018-12-12 |
| 1598192817 | Robert Allan Behmer | General Practice | 9426 Montaque Road, Winnebago, IL 61088 | 2013-10-01 |
| 1174633366 | Jon S. Strutzenberg | Family Medicine | 102 Landmark Dr, Winnebago, IL 61088 | 2006-08-30 |
| 1720148281 | Jennifer L. Dinges | Nurse Practitioner | 102 Landmark Dr, Winnebago, IL 61088 | 2006-12-12 |
| 1144395161 | James P Heynen | Dentist | 502 N Elida St, Winnebago, IL 61088 | 2006-11-22 |
| 1275643462 | Hahn Tu Rudolph | Family Medicine | 102 Landmark Dr, Winnebago, IL 61088 | 2006-08-30 |
| 1548426158 | Brian Thomas Michalsen | Family Medicine | 102 Landmark Dr, Winnegago, IL 61088-3619 | 2008-08-03 |
| 1730246158 | Felker Pharmacy Inc | Pharmacy | 101 Landmark Dr, Winnebago, IL 61088-7702 | 2007-01-03 |
| 1386011252 | Beth Ann Thompson | Nurse Practitioner | 102 Landmark Dr, Winnebago, IL 61088-7702 | 2015-08-27 |
| 1558598029 | Win Bur Sew Fire Protection Dist | Ambulance | 110 E Main St, Winnebago, IL 61088-7720 | 2009-06-11 |
| Find all providers in zip 61088 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1801260526 | Winnebago Indian Health Service | Clinic/Center | Hwy 77 75, Winnebago, NE 68071 | 2015-11-18 |
| 1497938542 | Winnebago Tribal Health Department | Clinic/Center | 225 S. Bluff St, Winnebago, NE 68071 | 2007-12-12 |
| 1679675680 | Blue Earth Valley Eye Clinic Ltd | Clinic/Center | 21 Main Street South, Winnebago, MN 56098 | 2006-09-01 |
| 1033608328 | Winnebago Tribe of Nebraska | Clinic/Center | 225 South Bluff Street, Winnebago, NE 68071 | 2018-05-02 |
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| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
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| 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.