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Organization
QUAD CITY HELICOPTER EMERGENCY MEDICAL SERVICE
Active
Organization
QUAD CITY HELICOPTER EMERGENCY MEDICAL SERVICE
Active
Other names
MED-FORCE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA L TAKACS (ADMINISTRATOR)
(563) 529-3823
Entity
Organization
Contact information
Practice address
6343 WOLF RD, COLONA, IL 61241-8963
(309) 796-0373
(309) 796-9283
Mailing address
1820 GRANT ST PMB 5027, BETTENDORF, IA 52722-4927
(563) 529-3823
(563) 355-3370
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
2 251801
IL
3416A0800X
Air Ambulance
2 251802
IL
3416A0800X
Air Ambulance
8001701
IA
3416A0800X
Air Ambulance
8291700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222737
—
IA
01
—
03732004
BLUE CROSS OF IL
IL
01
—
24000
BLUE CROSS OF IOWA
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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