Illinois Sw Orthopedics

LBN: Granite City Orthopedic Physicians Company Llc
Illinois Sw Orthopedics is an health care organization with primary practice located at 4802 S State Route 159 , Glen Carbon IL 62034-1904. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Granite City Orthopedic Physicians Company Llc can be contacted via phone (618) 288-4388, or through Fey, Laura J via phone (615) 221-3641.

Contact Information

Primary practice address
4802 S State Route 159 Glen Carbon IL 62034-1904
Phone: (618) 288-4388
Fax: (618) 288-4927
Website:
Map and Directions
Authorized official contact:
Name: Fey, Laura J
Phone: (615) 221-3641

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Illinois

Profile Details

NPI number 1861672677
LBN Legal business name Granite City Orthopedic Physicians Company Llc
DBA Doing business as Illinois Sw Orthopedics
Authorized official Fey, Laura J
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 8th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1861672677 NPPES
Illinois Other 6032134 BCBS GROUP #
Illinois MEDICAID 504042508 BCBS GROUP #

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