Granite City Physicians Corp

LBN: Granite City Physicians Corp
Granite City Physicians Corp is an health care organization with primary practice located at 2044 Madison Ave Suite 15, Granite City IL 62040-4641. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Granite City Physicians Corp can be contacted via phone (618) 451-1500, or through Newsome, Gary via phone (618) 451-1500.

Contact Information

Primary practice address
2044 Madison Ave Suite 15 Granite City IL 62040-4641
Phone: (618) 451-1500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Newsome, Gary
Phone: (618) 451-1500

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1508983214
LBN Legal business name Granite City Physicians Corp
DBA Doing business as
Authorized official Newsome, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 4 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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