| New Outpatient Center | |
|
2322 E Kimberly Rd Ste 200 Paul Revere Sq Davenport IA 52807-3042 | |
| (563) 355-0055 | |
| (563) 355-0101 |
| Full Name | New Outpatient Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 2322 E Kimberly Rd Ste 200 Paul Revere Sq, Davenport, Iowa |
| Authorized Official Name and Position | John Schuster (SENIOR VICE PRESIDENT/CFO) |
| Authorized Official Contact | 8153875642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Outpatient Center 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 391-1000 | New Outpatient Center 2322 E Kimberly Rd Ste 200 Paul Revere Sq Davenport IA 52807-3042 Ph: (563) 355-0055 |
| NPI Number | 1154490985 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154490985 | NPI | - | NPPES |
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