institution
Kevin C Dodson
Durable Medical Equipment & Medical Supplies in East Moline, Illinois
NPI 1659555464

Kevin C Dodson is a Durable Medical Equipment & Medical Supplies based in East Moline, IL. Kevin C Dodson practices in East Moline, IL. The NPI Number for Kevin C Dodson is 1659555464 and holds a License No. 016004304 (Illinois).

The current practice location address for Kevin C Dodson is 1620 9Th St, East Moline, IL and can be reached out via phone at 309-755-3809 and via fax at 308-755-3860.

Location: 1620 9Th St, East Moline, IL, 61244-2120
institution
Provider Profile Details
NPI Number
1659555464
Provider Name
Kevin C Dodson
Credential
Provider Entity Type
Organization
Address
1620 9Th St, East Moline, IL, 61244-2120
Phone Number
309-755-3809
Fax Number
308-755-3860
Provider Enumeration Date
12/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0060201286 01 IL BLUE CROSS BLUE SHIELD
IL0101 01 IL UNITED HEALTHCARE
0436154 01 IA IME
P00204462 01 IA MEDICARE RAILROAD
480007485 01 IL MEDICARE RAILROAD
IA0102 01 IA UNITED HEALTH CARE
020110 01 IL HEALTH ALLIANCE
326507258 01 IL TRICARE
36473 01 IA WELLMARK BLUE CROSS/BLUE SHIELD
I12453 01 IA MEDICARE
institution
Provider Business Practice Location Address Details
Address
1620 9Th St
City
State
Zip
61244-2120
Phone Number
309-755-3809
Fax Number
308-755-3860
person
Provider Business Mailing Address Details
Address
1620 9Th St
City
State
Zip
61244-2120
Phone Number
309-755-3809
Fax Number
308-755-3860
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
016004304 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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