Organization
QUAD CITIES KIDNEY CENTER ROCK ISLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH ALLA M.D. (MEDICAL DIRECTOR)
(309) 762-5570
Entity
Organization
Contact information
Practice address
2623 17TH ST, ROCK ISLAND, IL 61201-5350
(309) 786-1400
(309) 786-7570
Mailing address
400 JOHN DEERE RD, MOLINE, IL 61265-6898
(309) 762-5570
(309) 762-5297
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51316
BCBS OF IL
IL
Enumeration date
11/14/2008
Last updated
08/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us