| Bethany For Children & Families | |
|
2195 E 53rd St Davenport IA 52807-2705 | |
| (563) 324-9169 | |
| (563) 324-2437 |
| Full Name | Bethany For Children & Families |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2195 E 53rd St, Davenport, Iowa |
| Authorized Official Name and Position | Lisa Christopher (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 3097977700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany For Children & Families 1701 River Dr Moline IL 61265-1384 Ph: (309) 797-7700 | Bethany For Children & Families 2195 E 53rd St Davenport IA 52807-2705 Ph: (563) 324-9169 |
| NPI Number | 1932178183 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932178183 | NPI | - | NPPES |
| 1104307 | Medicaid | IA | |
| 310510 | Medicaid | IL | |
| 1B00-IPI-014 | Medicaid | IL |
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