Geriatric And Primary Care Services S C

LBN: Geriatric And Primary Care Services S C
Geriatric And Primary Care Services S C is an health care organization with primary practice located at 1606 Castleberry Dr , Marion IL 62959-1586. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Geriatric And Primary Care Services S C can be contacted via phone (618) 997-9519, or through Tucker, Gladstone A via phone (618) 542-6152.

Contact Information

Primary practice address
1606 Castleberry Dr Marion IL 62959-1586
Phone: (618) 997-9519
Fax: (618) 993-0592
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Gladstone A Doctor of Medicine (MD)
Phone: (618) 542-6152

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036111926 Illinois

Profile Details

NPI number 1174535900
LBN Legal business name Geriatric And Primary Care Services S C
DBA Doing business as
Authorized official Tucker, Gladstone A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 25th, 2012 - about 13 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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