Ireland Grove Center For Surgery Llc.

LBN: Ireland Grove Center For Surgery Llc.
Ireland Grove Center For Surgery Llc. is an health care organization with primary practice located at 3801 Ireland Grove Road , Bloomington IL 61704. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Ireland Grove Center For Surgery Llc. can be contacted via phone (309) 664-0101, or through Wilson, Scott R. via phone (309) 664-0101.

Contact Information

Primary practice address
3801 Ireland Grove Road Bloomington IL 61704
Fax: (309) 664-1010
Website:
Authorized official contact:
Name: Wilson, Scott R. MBA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1750567442
LBN Legal business name Ireland Grove Center For Surgery Llc.
DBA Doing business as
Authorized official Wilson, Scott R. MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2008
Last updated Jun 23rd, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750567442 NPPES
Illinois Other 1285633420 NPI
Illinois Other 1760543615 NPI
Illinois Other IL1464 NPI
Illinois Other 1538168786 NPI
Illinois Other 1558347310 NPI
Illinois Other 1164419818 NPI
Illinois Other 1992813174 NPI

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