QUAD CITIES KIDNEY CENTER, LTD. (NPI# 1700885803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700885803 |
| Entity Type | Organization |
| Organization Name | QUAD CITIES KIDNEY CENTER, LTD. |
| Practice Address |
120 W Locust St Davenport IA 52803-2826 |
| Mailing Address |
400 John Deere Rd Moline IL 61265-6898 |
| Practice Telephone | 5633233300 |
| Practice Fax Number | 5633231045 |
| Mailing Telephone | 3097625570 |
| Mailing Fax Number | 3097625297 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | DR. RAJESH ALLA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3097625570 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS OF IA/WELLMARK | 62507 | 01 |
| IA | 0625079 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956319 | Quad Cities Kidney Center, Ltd. | Clinic/Center | 600 N College Ave, Suite 150, Geneseo, IL 61254-1096 | 2005-07-21 |
| 1306845409 | Quad Cities Kidney Center, Ltd. | Clinic/Center | 400 John Deere Rd, Moline, IL 61265-6898 | 2005-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | QUAD CITIES KIDNEY CENTER, LTD. | 400 John Deere Rd, Moline, IL 61265 |
| Street Address |
120 W LOCUST ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093175457 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 120 W Locust St, Davenport, IA 52803-2826 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184014912 | Florida Dialysis Center of Haines City LLC | Clinic/Center | 2340 North Boulevard West, Davenport, FL 33837-8924 | 2015-02-02 |
| 1821499245 | Clyfee Dialysis LLC | Clinic/Center | 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 | 2014-09-05 |
| 1881975662 | Green Country Dialysis LLC | Clinic/Center | 5250 Utica Ridge Rd, Davenport, IA 52807-3872 | 2011-09-07 |
| 1669438495 | Renal Life Link Inc | Clinic/Center | 45597 Highway 27, Davenport, FL 33897-4519 | 2006-04-21 |
| 1093175457 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 120 W Locust St, Davenport, IA 52803-2826 | 2016-02-29 |
| 1922048594 | Genesis Health System | Clinic/Center | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817218 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 | 2020-09-30 |
| 1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
| 1588221824 | Rcg Mercy Des Moines LLC | Clinic/Center | 9080 University Ave, West Des Moines, IA 50266-1892 | 2019-05-22 |
| 1639634207 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884 | 2019-02-07 |
| 1245755529 | Trusten Dialysis LLC | Clinic/Center | 1119 73rd St, Windsor Heights, IA 50324-1313 | 2017-08-08 |
| 1477086692 | Wallips Dialysis, LLC | Clinic/Center | 1117 Hazel St, Pella, IA 50219-1338 | 2017-04-05 |
| 1477980365 | Honeyman Dialysis LLC | Clinic/Center | 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 | 2013-10-09 |
| 1982947792 | Davis Dialysis LLC | Clinic/Center | 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 | 2013-03-29 |
| 1972843738 | Geyser Dialysis LLC | Clinic/Center | 2625 N Ankeny Blvd, Ankeny, IA 50023 | 2013-02-15 |
| 1649517673 | Kobuk Dialysis LLC | Clinic/Center | 1005 Pennsylvania Ave Ste 101, Ottumwa, IA 52501-6408 | 2013-01-10 |
| 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.