Andes Health Mart

LBN: G M Andes Ltd
Andes Health Mart is an health care organization with primary practice located at 805 W Fayette Ave , Effingham IL 62401-2415. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. G M Andes Ltd can be contacted via phone (217) 342-9393, or through Andes, Garrett via phone (217) 342-9393.

Contact Information

Primary practice address
805 W Fayette Ave Effingham IL 62401-2415
Phone: (217) 342-9393
Fax: (217) 342-9409
Website:
Map and Directions
Authorized official contact:
Name: Andes, Garrett
Phone: (217) 342-9393

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054014035 Illinois

Profile Details

NPI number 1740230481
LBN Legal business name G M Andes Ltd
DBA Doing business as Andes Health Mart
Authorized official Andes, Garrett
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Jan 31st, 2022 - about 3 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 1740230481 NPPES
Other 2019673 PK
MEDICAID 371236737001 PK

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