Kidney Care Services Of Southern Illinois, Ltd

LBN: Kidney Care Services Of Southern Illinois, Ltd
Kidney Care Services Of Southern Illinois, Ltd is an health care organization with primary practice located at 900 N Washington St , Du Quoin IL 62832-1230. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Kidney Care Services Of Southern Illinois, Ltd can be contacted via phone (618) 542-3048, or through Shafi, Mohammad S via phone (618) 542-3048.

Contact Information

Primary practice address
900 N Washington St Du Quoin IL 62832-1230
Phone: (618) 542-3048
Fax: (618) 542-3097
Website:
Map and Directions
Authorized official contact:
Name: Shafi, Mohammad S MC
Phone: (618) 542-3048

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 036102569 Illinois

Profile Details

NPI number 1669501912
LBN Legal business name Kidney Care Services Of Southern Illinois, Ltd
DBA Doing business as
Authorized official Shafi, Mohammad S MC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 12th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669501912 NPPES
Illinois MEDICAID 036102569

Popular Providers