OUTREACH MEDICAL, INC. (NPI# 1447200027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447200027 |
| Entity Type | Organization |
| Organization Name | OUTREACH MEDICAL, INC. |
| Practice Address |
1123 7th Ave Suite 4 Rock Island IL 61201-8449 |
| Practice Telephone | 3097863541 |
| Practice Fax Number | 3097864573 |
| Mailing Telephone | 3097863541 |
| Mailing Fax Number | 3097864573 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. UCHE MBAKWE (VICE PRESIDENT) |
| Authorized Official Telephone | 3097863541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0578344 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | OUTREACH MEDICAL, INC. | 1123 7th Ave Ste 4, Rock Island, IL 61201 |
| Street Address |
1123 7TH AVE SUITE 4 |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-8449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922245224 | Outreach Homehealth Services, Inc. | Home Health | 1123 7th Ave, Suite 3, Rock Island, IL 61201-8449 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295059285 | Alpha and Omega Medical Inc. | Durable Medical Equipment & Medical Supplies | 1623 2nd Ave, Suite 300, Rock Island, IL 61201-8643 | 2010-03-18 |
| 1275549750 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2955 18th Ave, Rock Island, IL 61201-4708 | 2006-08-01 |
| 1164437380 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 11th St, Rock Island, IL 61201-6706 | 2006-07-29 |
| 1285676791 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 2930 18th Ave, Rock Island, IL 61201-4707 | 2006-06-11 |
| 1144261017 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2617 18th Ave, Rock Island, IL 61201 | 2006-06-09 |
| 1720594195 | Unitypoint At Home | Durable Medical Equipment & Medical Supplies | 2701 17th St, Rock Island, IL 61201-5351 | 2017-12-21 |
| 1922410521 | Rock Island Nursing and Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 2545 24th St, Rock Island, IL 61201-5305 | 2014-05-30 |
| 1881963825 | Trinity Health Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2701 17th St, Rock Island, IL 61201-5351 | 2011-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
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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.