Danville Polyclinic, Ltd

LBN: Danville Polyclinic, Ltd
Danville Polyclinic, Ltd is an health care organization with primary practice located at 707 N Logan Ave , Danville IL 61832-4360. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Danville Polyclinic, Ltd can be contacted via phone (217) 446-6410, or through Edington, Melissa A via phone (217) 477-4750.

Contact Information

Primary practice address
707 N Logan Ave Danville IL 61832-4360
Phone: (217) 446-6410
Fax: (217) 477-4757
Website:
Map and Directions
Authorized official contact:
Name: Edington, Melissa A
Phone: (217) 477-4750

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 060000812 Illinois

Profile Details

NPI number 1336181544
LBN Legal business name Danville Polyclinic, Ltd
DBA Doing business as
Authorized official Edington, Melissa A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 25th, 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 1336181544 NPPES
Indiana MEDICAID 100002020A
Indiana Other 221069
Indiana Other 09215807
Indiana Other 1486765

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