Liferx

LBN: Fountain Healthcare Limited Liability Company
Liferx is an health care organization with primary practice located at 2412 E Washington St Ste 6 , Bloomington IL 61704-4497. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fountain Healthcare Limited Liability Company can be contacted via phone (309) 585-2116, or through Bass, Clyde L via phone (415) 754-3379.

Contact Information

Primary practice address
2412 E Washington St Ste 6 Bloomington IL 61704-4497
Phone: (309) 585-2116
Fax: (309) 585-2152
Website:
Map and Directions
Authorized official contact:
Name: Bass, Clyde L
Phone: (415) 754-3379

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1902140585
LBN Legal business name Fountain Healthcare Limited Liability Company
DBA Doing business as Liferx
Authorized official Bass, Clyde L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2012
Last updated Sep 21st, 2016 - about 8 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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