NPIMap

Organization Active NPI

Braaten Health LLC

  • Other Specialist/Technologist
  • Moline, IL
National Provider Identifier
1124241146
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
BRAATEN HEALTH LLC
Practice address
4364 7TH St
Moline, IL 61265-6867
Phone
(309) 762-2998
Fax
(309) 762-2919
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Annette D Lane
Title
Billing
Phone
(563) 327-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

4364 7TH St
Moline, IL 61265-6867

Mailing address

PO Box 3488
Davenport, IA 52808-3488
Phone (563) 327-0132

Other names 1

  • Moline Rem Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Braaten Health LLC Dba Midwest Therapy Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1124241146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528083488",
            "telephone_number": "563-327-0132",
            "fax_number": "563-359-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-762-2998",
            "fax_number": "309-762-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAATEN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "563-327-0132",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moline Rem Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.