Internal Medicine Clinic Of Jacksonville

LBN: Jacksonville, Llc
Internal Medicine Clinic Of Jacksonville is an health care organization with primary practice located at 1606 W Lafayette Ave , Jacksonville IL 62650-3707. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Jacksonville, Llc can be contacted via phone (217) 245-1421, or through Dowell, J. Travis via phone (217) 788-3342.

Contact Information

Primary practice address
1606 W Lafayette Ave Jacksonville IL 62650-3707
Phone: (217) 245-1421
Fax: (217) 243-1699
Website:
Map and Directions
Authorized official contact:
Name: Dowell, J. Travis
Phone: (217) 788-3342

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1437301611
LBN Legal business name Jacksonville, Llc
DBA Doing business as Internal Medicine Clinic Of Jacksonville
Authorized official Dowell, J. Travis
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 9th, 2012 - about 12 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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