City Of Country Club Hills

LBN: City Of Country Club Hills
City Of Country Club Hills is an health care organization with primary practice located at 4200 W. 183Rd St , Country Club Hills IL 60478-5311. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of Country Club Hills can be contacted via phone (708) 798-8488, or through Coon, Michelle via phone (708) 478-5694.

Contact Information

Primary practice address
4200 W. 183Rd St Country Club Hills IL 60478-5311
Fax: (708) 798-8555
Website:
Authorized official contact:
Name: Coon, Michelle

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 78166 Illinois

Profile Details

NPI number 1265485007
LBN Legal business name City Of Country Club Hills
DBA Doing business as
Authorized official Coon, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Dec 10th, 2019 - about 5 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 1265485007 NPPES
Illinois Other 016-70820 BLUE CROSS BLUE SHIELD
Illinois Other P00151630 BLUE CROSS BLUE SHIELD

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