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. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Galena Clinic, Inc. can be contacted via phone (815) 777-1300, or through Davis, Kenneth via phone (815) 777-1300.
Contact Information
Primary practice address
939 Galena Square Dr
Galena IL 61036
Phone: (815) 777-1300
Fax: (815) 777-1308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 14011 | Illinois |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 14011 | Illinois |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 14011 | Illinois |
Profile Details
| NPI number | 1073067138 |
|---|---|
| LBN Legal business name | Galena Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Davis, Kenneth M.D., PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2016 |
| Last updated | Jun 5th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073067138 | NPPES |
| Illinois | Other | 14011 | MENTAL HEALTH |
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