MOMS LACTATION RESOURCE CENTER – NPI #1255803466
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

MOMS LACTATION RESOURCE CENTER is an AHC clinic located in WINNEBAGO, IL. NPPES has assigned the NPI number 1255803466 to MOMS LACTATION RESOURCE CENTER on December 28, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOMS LACTATION RESOURCE CENTER below.

NPI Profile for
MOMS LACTATION RESOURCE CENTER

NPI Number
1255803466
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOMS LACTATION RESOURCE CENTER
Primary location
506 N ELIDA
WINNEBAGO, IL 61088
Phone: (815) 222-4596 Fax:
Mailing address
984 WESTRIDGE DR.
ROCKFORD, IL 61102
Phone: (815) 222-4596 Fax:
Organization Subpart
No
Authorized Official
JENNIFER BECK
CO-MANAGER
Phone: (815) 222-4596
Updated
Identifiers

Identifiers for MOMS LACTATION RESOURCE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL187065250
MEDICAIDIL1821569120
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.