Anderson Family Practice

LBN: Anderson Family Practice
Anderson Family Practice is an health care organization with primary practice located at 3505 Broadway St , Mount Vernon IL 62864-2202. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Anderson Family Practice can be contacted via phone (618) 244-7788, or through Anderson, Alan W via phone (618) 244-7788.

Contact Information

Primary practice address
3505 Broadway St Mount Vernon IL 62864-2202
Fax: (618) 244-9330
Website:
Authorized official contact:
Name: Anderson, Alan W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Illinois

Profile Details

NPI number 1023235348
LBN Legal business name Anderson Family Practice
DBA Doing business as
Authorized official Anderson, Alan W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 22nd, 2020 - about 4 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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