Granite City Clinic Corp
LBN: Granite City Clinic Corp
Granite City Clinic Corp is an health care organization with primary practice located at 2044 Madison Ave Suite 27, Granite City IL 62040-4641. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Granite City Clinic Corp can be contacted via phone (618) 451-7600, or through Fey, Laura J via phone (615) 221-3641.
Contact Information
Primary practice address
2044 Madison Ave Suite 27
Granite City IL 62040-4641
Phone: (618) 451-7600
Fax: (618) 451-7685
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
NPI number | 1255387957 |
---|---|
LBN Legal business name | Granite City Clinic Corp |
DBA Doing business as | |
Authorized official | Fey, Laura J |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | Jul 7th, 2023 - about last year |
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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