Organization · Type 2 NPI
The Bridge Clinic of Rockofrd
Voluntary or Charitable Agency · Rockford, IL
NPI number
1154798916
Active
Practice location
318 N Church St
Rockford, IL 61101-1006
Mailing address
PO Box 16024
Loves Park, IL 61132-6024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Voluntary or Charitable Agency: Definition to come...
Other voluntary or charitable agency providers in Rockford
About NPI 1154798916
The Bridge Clinic of Rockofrd's National Provider Identifier is 1154798916, issued on Aug 27, 2015. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Rockford, IL. The record was last updated on Aug 27, 2015.