Central Illinois Kidney & Dialysis
LBN: Central Illinois Kidney & Dialysis Associates, Sc
Central Illinois Kidney & Dialysis is an health care organization with primary practice located at 3401 Conifer Dr , Springfield IL 62711-8300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty.
Central Illinois Kidney & Dialysis Associates, Sc can be contacted via phone (217) 726-0967, or through Skinner, Stephanie Ann via phone (217) 726-0967.
Contact Information
Primary practice address
3401 Conifer Dr
Springfield IL 62711-8300
Phone: (217) 726-0967
Fax: (217) 726-7633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 042005163 | Illinois |
Profile Details
| NPI number | 1598788994 |
|---|---|
| LBN Legal business name | Central Illinois Kidney & Dialysis Associates, Sc |
| DBA Doing business as | Central Illinois Kidney & Dialysis |
| Authorized official | Skinner, Stephanie Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Mar 16th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598788994 | NPPES |
| Other | 31664 | GHP GROUP PROVIDER NUMBER | |
| Other | 8415035 | GHP GROUP PROVIDER NUMBER |
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