Organization Active NPI

Golden Center for Health & Healing, LLC

  • Clinic/Center
  • Rock Island, IL
National Provider Identifier
1437783875
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GOLDEN CENTER FOR HEALTH & HEALING, LLC
Practice address
319 18TH St
Rock Island, IL 61201-8715
Phone
(309) 781-0805
Fax
(309) 429-6471
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Dr. John W. Golden, MD
Title
Owner
Phone
(309) 781-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

319 18TH St
Rock Island, IL 61201-8715

Mailing address

2445 31St Avenue CT
Moline, IL 61265-6941
Phone (309) 781-0805

Other identifiers 1

IdentifierTypeStateIssuer
036-062709OtherILMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@goldencenterhealing.com Direct

National Provider Directory

National Provider Directory

Locations

319 18th St
Rock Island, IL 61201
Phone (309) 781-0805

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1437783875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 31ST AVENUE CT",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656941",
            "telephone_number": "309-781-0805",
            "fax_number": "309-429-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 18TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018715",
            "telephone_number": "309-781-0805",
            "fax_number": "309-429-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CENTER FOR HEALTH & HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-781-0805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036-062709",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@goldencenterhealing.com",
            "affiliation": "N",
            "endpointDescription": "office email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "319 18th St",
            "city": "Rock Island",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612018715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.