Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREAT RIVER PAIN CENTER LLC
Active OrganizationGREAT RIVER PAIN CENTER LLC is a Vascular Surgery organization located in MOLINE, Illinois. NPI 1073865291 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MOLINE, IL
Registration Details
- NPI Number
- 1073865291
- Provider Type
- Organization
- NPI Issued
- Oct 11, 2012 (13.851349702109 yrs)
- Last Updated
- Oct 11, 2012
- License
-
036118384 (IL)
Practice Information
- Address
-
1634 AVENUE OF THE CITIESMOLINE, IL, 612654860Browse IL providers · Browse ZIP 61265
- Phone
- 3097629711
- Fax
- 3097629747
- Primary Specialty
-
Vascular Surgery
208VP0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.