Jacksonville Pediatric Associates, Llc

LBN: Jacksonville Pediatric Associates, Llc
Jacksonville Pediatric Associates, Llc is an health care organization with primary practice located at 1600 W Walnut St East Wing, 3Rd Floor, Jacksonville IL 62650-1136. 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 Pediatric Associates, Llc can be contacted via phone (217) 245-5437, or through Dowell, J. Travis via phone (217) 788-3342.

Contact Information

Primary practice address
1600 W Walnut St East Wing, 3Rd Floor Jacksonville IL 62650-1136
Phone: (217) 245-5437
Fax: (217) 243-3113
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 1679724181
LBN Legal business name Jacksonville Pediatric Associates, Llc
DBA Doing business as
Authorized official Dowell, J. Travis
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2008
Last updated Oct 2nd, 2008 - about 16 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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