Organization
PRECEDENCE CARE COORDINATION ENTITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSEY TIFFENBACK RHIA (MANAGER SUPPORT SERVICES)
(309) 714-0246
Entity
Organization
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-3200
Mailing address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-3200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/21/2018
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