Effingham Orthopedic Clinic Sc

LBN: Effingham Orthopedic Clinic Sc
Effingham Orthopedic Clinic Sc is an health care organization with primary practice located at 802 E Jefferson Ave , Effingham IL 62401-3409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Effingham Orthopedic Clinic Sc can be contacted via phone (217) 347-5305, or through Heshmatpour, Behrooz via phone (217) 347-5305.

Contact Information

Primary practice address
802 E Jefferson Ave Effingham IL 62401-3409
Phone: (217) 347-5305
Fax: (217) 347-5305
Website:
Map and Directions
Authorized official contact:
Name: Heshmatpour, Behrooz Doctor of Medicine (MD)
Phone: (217) 347-5305

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036064071 Illinois

Profile Details

NPI number 1912903261
LBN Legal business name Effingham Orthopedic Clinic Sc
DBA Doing business as
Authorized official Heshmatpour, Behrooz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 2009 - about 17 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 1912903261 NPPES
Other 02500061 BLUE CROSS BLUE SHIELD
Other 137805 BLUE CROSS BLUE SHIELD
Other 078985 BLUE CROSS BLUE SHIELD
Other 133294100 BLUE CROSS BLUE SHIELD
MEDICAID 036064071 BLUE CROSS BLUE SHIELD
Other 200000910 BLUE CROSS BLUE SHIELD

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