Heritage Health - Mendota

LBN: Heritage Manor - Mendota, Llc
Heritage Health - Mendota is an health care organization with primary practice located at 1201 1St Ave , Mendota IL 61342-1815. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Heritage Manor - Mendota, Llc can be contacted via phone (815) 539-6745, or through Underwood, David M via phone (309) 823-7135.

Contact Information

Primary practice address
1201 1St Ave Mendota IL 61342-1815
Phone: (815) 539-6745
Fax: (815) 538-2017
Website:
Map and Directions
Authorized official contact:
Name: Underwood, David M CPA
Phone: (309) 823-7135

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1982948683
LBN Legal business name Heritage Manor - Mendota, Llc
DBA Doing business as Heritage Health - Mendota
Authorized official Underwood, David M CPA
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 19th, 2012
Last updated Apr 24th, 2014 - about 11 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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