Family Practice Medical Center Ltd

LBN: Family Practice Medical Center Ltd
Family Practice Medical Center Ltd is an health care organization with primary practice located at 511 W Fairchild St , Danville IL 61832-3801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Family Practice Medical Center Ltd can be contacted via phone (217) 431-2025, or through Gindi, George R via phone (217) 431-2025.

Contact Information

Primary practice address
511 W Fairchild St Danville IL 61832-3801
Phone: (217) 431-2025
Fax: (217) 431-0014
Website:
Map and Directions
Authorized official contact:
Name: Gindi, George R Doctor of Medicine (MD)
Phone: (217) 431-2025

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 036087566 Illinois
Ambulatory Health Care Facilities / Rural Health 261QR1300X 036100736 Illinois

Profile Details

NPI number 1659312072
LBN Legal business name Family Practice Medical Center Ltd
DBA Doing business as
Authorized official Gindi, George R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 25th, 2013 - about 12 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 1659312072 NPPES
Illinois Other 015566 HEALTH ALLIANCE
Illinois MEDICAID 036100736 HEALTH ALLIANCE
Illinois MEDICAID 036087566 HEALTH ALLIANCE
Illinois Other 09232019 HEALTH ALLIANCE

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