K M B S C

LBN: K M B S C
K M B S C is an health care organization with primary practice located at 1800 E Lake Shore Dr , Decatur IL 62521-3883. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. K M B S C can be contacted via phone (217) 464-2966, or through Strayer, Sue A via phone (217) 464-2966.

Contact Information

Primary practice address
1800 E Lake Shore Dr Decatur IL 62521-3883
Phone: (217) 464-2966
Fax: (217) 464-3193
Website:
Map and Directions
Authorized official contact:
Name: Strayer, Sue A Doctor of Medicine (MD)
Phone: (217) 464-2966

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1902867997
LBN Legal business name K M B S C
DBA Doing business as
Authorized official Strayer, Sue A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Jan 7th, 2015 - about 10 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 1902867997 NPPES
Illinois Other 0581522929 BCBS

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