Galena Clinic, Inc.

LBN: Galena Clinic, Inc.
Galena Clinic, Inc. is an health care organization with primary practice located at 939 Galena Square Dr , Galena IL 61036-1355. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Galena Clinic, Inc. can be contacted via phone (815) 777-1300, or through Davis, Kenneth P via phone (815) 777-1300.

Contact Information

Primary practice address
939 Galena Square Dr Galena IL 61036-1355
Phone: (815) 777-1300
Fax: (815) 777-1308
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kenneth P Doctor of Medicine (MD)
Phone: (815) 777-1300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X A-6258-0001-A Illinois
Ambulatory Health Care Facilities / Methadone 261QM2800X A-6258-0001-A Illinois

Profile Details

NPI number 1033408356
LBN Legal business name Galena Clinic, Inc.
DBA Doing business as
Authorized official Davis, Kenneth P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2011
Last updated Jan 4th, 2018 - about 7 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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