Southern Illinois Immediate Care, Llc

LBN: Craig W. Furry
Southern Illinois Immediate Care, Llc is an health care organization with primary practice located at 1306 N Atchison Ave Suite C, Marion IL 62959-5426. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Craig W. Furry can be contacted via phone (618) 998-1900, or through Boss, Kelli S via phone (618) 998-1900.

Contact Information

Primary practice address
1306 N Atchison Ave Suite C Marion IL 62959-5426
Phone: (618) 998-1900
Fax: (618) 998-1990
Website:
Map and Directions
Authorized official contact:
Name: Boss, Kelli S
Phone: (618) 998-1900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1962689240
LBN Legal business name Craig W. Furry
DBA Doing business as Southern Illinois Immediate Care, Llc
Authorized official Boss, Kelli S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2008
Last updated Feb 2nd, 2011 - about 13 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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