Noll Medical Pavilion Clinic

LBN: Board Of Trustees Of Southern Illinois University
Noll Medical Pavilion Clinic is an health care organization with primary practice located at 5220 S 6Th Street Rd Suite 1200, Springfield IL 62703-5735. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Board Of Trustees Of Southern Illinois University can be contacted via phone (217) 545-8000, or through Albers, Janet R via phone (217) 757-8100.

Contact Information

Primary practice address
5220 S 6Th Street Rd Suite 1200 Springfield IL 62703-5735
Phone: (217) 545-8000
Fax: (217) 747-1351
Website:
Map and Directions
Authorized official contact:
Name: Albers, Janet R Doctor of Medicine (MD)
Phone: (217) 757-8100

Health care specialties

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

Profile Details

NPI number 1922350099
LBN Legal business name Board Of Trustees Of Southern Illinois University
DBA Doing business as Noll Medical Pavilion Clinic
Authorized official Albers, Janet R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2012
Last updated Mar 14th, 2013 - about 11 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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