# ROSECRANCE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508697178
- **Authorized official:** MICHAEL VICK (CFO)
- **Authorized official phone:** (815) 312-6821

## Contact information

- **Practice address:** 2704 N MAIN ST, ROCKFORD, IL 61103-3112
- **Practice address phone:** (815) 391-1000
- **Mailing address:** 1021 N MULFORD RD, ROCKFORD, IL 61107-3874
- **Mailing address phone:** (815) 387-5623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 08/13/2024