Whalio Doctors

NPI 1275859902

Proctor Community Hospital

Organisation Substance Abuse Rehabilitation Facility Bettendorf, IA

Practice location

Address
1401 Central Ave, Bettendorf, IA 52722-6034
Phone
(563) 355-0291
Mailing address
5409 N Knoxville Ave, Peoria, IL 61614-5069

Authorised official

Name
Paul E Macek
Title
President/Ceo
Phone
(309) 691-1000

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 0001925 (IL)

Registry record

NPI
1275859902
Entity type
Organization
NPI issued
20 Apr 2010
Record last updated
20 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.