Effingham Obstetrics And Gynecology Associates Pllc

LBN: Effingham Obstetrics And Gynecology Associates Pllc
Effingham Obstetrics And Gynecology Associates Pllc is an health care organization with primary practice located at 912 N Henrietta St , Effingham IL 62401. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Effingham Obstetrics And Gynecology Associates Pllc can be contacted via phone (217) 342-3337, or through Haller, Kelly Hunt via phone (217) 342-3337.

Contact Information

Primary practice address
912 N Henrietta St Effingham IL 62401
Phone: (217) 342-3337
Fax: (217) 347-3328
Website:
Map and Directions
Authorized official contact:
Name: Haller, Kelly Hunt Doctor of Medicine (MD)
Phone: (217) 342-3337

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1649677063
LBN Legal business name Effingham Obstetrics And Gynecology Associates Pllc
DBA Doing business as
Authorized official Haller, Kelly Hunt Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2014
Last updated Nov 8th, 2023 - about 2 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 1649677063 NPPES
Illinois MEDICAID 371326540002

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