Comprehensive Bleeding Disorders Center

LBN: Comprehensive Bleeding Disorders Center
Comprehensive Bleeding Disorders Center is an health care organization with primary practice located at 4727 N Sheridan Rd , Peoria IL 61614-5925. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Comprehensive Bleeding Disorders Center can be contacted via phone (309) 688-1345, or through Davis, Mary L via phone (309) 688-1345.

Contact Information

Primary practice address
4727 N Sheridan Rd Peoria IL 61614-5925
Phone: (309) 688-1345
Fax: (309) 688-0917
Website:
Map and Directions
Authorized official contact:
Name: Davis, Mary L
Phone: (309) 688-1345

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054014575 Illinois

Profile Details

NPI number 1457347502
LBN Legal business name Comprehensive Bleeding Disorders Center
DBA Doing business as
Authorized official Davis, Mary L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Aug 8th, 2008 - about 16 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 1457347502 NPPES
Illinois Other 21623343 BCBS OF IL

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