Clark County Family Medicine

LBN: David P Davis Medicine, Pc
Clark County Family Medicine is an health care organization with primary practice located at 890 Ridgelawn Rd , Martinsville IL 62442-0399. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. David P Davis Medicine, Pc can be contacted via phone (217) 382-4191, or through Davis, David Paul via phone (217) 382-4191.

Contact Information

Primary practice address
890 Ridgelawn Rd Martinsville IL 62442-0399
Phone: (217) 382-4191
Fax: (217) 382-4248
Website:
Map and Directions
Authorized official contact:
Name: Davis, David Paul Doctor of Medicine (MD)
Phone: (217) 382-4191

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 036086811 Illinois

Profile Details

NPI number 1841237583
LBN Legal business name David P Davis Medicine, Pc
DBA Doing business as Clark County Family Medicine
Authorized official Davis, David Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 24th, 2014 - about 11 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 1841237583 NPPES
Illinois MEDICAID 316704395
Illinois Other 0004400750
Illinois Other 238297
Illinois Other 006686
Illinois Other 000000079566
Illinois Other 01225376

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