Advanced Heart Care

LBN: Advanced Heart Care
Advanced Heart Care is an health care organization with primary practice located at 4600 Memorial Dr W3, Belleville IL 62226-5366. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Advanced Heart Care can be contacted via phone (618) 222-8900, or through Almousalli, Omar via phone (618) 222-8900.

Contact Information

Primary practice address
4600 Memorial Dr W3 Belleville IL 62226-5366
Phone: (618) 222-8900
Fax: (618) 222-8950
Website:
Map and Directions
Authorized official contact:
Name: Almousalli, Omar Doctor of Medicine (MD)
Phone: (618) 222-8900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 036097388 Illinois

Profile Details

NPI number 1356590178
LBN Legal business name Advanced Heart Care
DBA Doing business as
Authorized official Almousalli, Omar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2008
Last updated Jan 8th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356590178 NPPES
Illinois MEDICAID 0360973885

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