Organization Active NPI

Moline Rem Center, LLC

  • Other Specialist/Technologist
  • Moline, IL
National Provider Identifier
1891769915
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
MOLINE REM CENTER, LLC
Practice address
4364 7TH Street
Moline, IL 61265-6867
Phone
(563) 327-0132
Fax
(563) 359-5642
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Heather Wohlers
Title
Manager
Phone
(563) 326-7002

Specialties & licenses 1

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

Addresses

Primary practice location

4364 7TH Street
Moline, IL 61265-6867

Mailing address

4364 7TH Street
Moline, IL 61265-6867
Phone (563) 327-0132

National Provider Directory

National Provider Directory

Locations

5403 Victoria Ave
Davenport, IA 52807
Phone (563) 296-0877

Practitioners & affiliated clinicians

Practitioners 3

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": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1891769915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 7TH STREET",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "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 STREET",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "563-327-0132",
            "fax_number": "563-359-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINE REM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "WOHLERS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-326-7002"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2017; 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.