Bel Clair Ambulatory Surgical Treatment Center, Ltd

LBN: Bel Clair Ambulatory Surgical Treatment Center, Ltd
Bel Clair Ambulatory Surgical Treatment Center, Ltd is an health care organization with primary practice located at 325 W Lincoln St , Belleville IL 62220-1921. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Bel Clair Ambulatory Surgical Treatment Center, Ltd can be contacted via phone (618) 235-2299, or through Horace, David Russell via phone (618) 235-2299.

Contact Information

Primary practice address
325 W Lincoln St Belleville IL 62220-1921
Phone: (618) 235-2299
Fax: (618) 235-2556
Website:
Map and Directions
Authorized official contact:
Name: Horace, David Russell
Phone: (618) 235-2299

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Illinois

Profile Details

NPI number 1720458813
LBN Legal business name Bel Clair Ambulatory Surgical Treatment Center, Ltd
DBA Doing business as
Authorized official Horace, David Russell
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2015
Last updated Oct 1st, 2015 - about 10 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 1720458813 NPPES
Illinois Other 141065 MEDICARE PTAN

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