OrganizationOutreach Medical, Inc.Durable Medical Equipment & Medical SuppliesSuppliersPractice Address1123 7th Ave, Suite 4, Rock Island, IL 61201-8449(309) 786-3541PECOS EnrollmentBased on the most recent information from CMS, provider Outreach Medical, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1447200027Provider TypeOrganizationFull NameOutreach Medical, Inc.SubpartNoEnumeration Date5/12/2006Last Updated4/20/2008Contact InformationPractice LocationPractice Address1123 7th Ave, Suite 4, Rock Island, IL 61201-8449Phone(309) 786-3541Fax(309) 786-4573Mailing LocationMailing Address1123 7th Ave, Suite 4, Rock Island, IL 61201-8449Phone(309) 786-3541Fax(309) 786-4573Authorized OfficialNameMbakwe, Uche (Vice President)Phone(309) 786-3541Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerIllinoisProvider IdentifiersIDDescriptionIssuerID0578344DescriptionMedicaidIssuerUnlistedIowa