Kidney & Hypertenstion Associates Mid-America Llc
LBN: Kidney & Hypertenstion Associates Mid-America Llc
Kidney & Hypertenstion Associates Mid-America Llc is an health care organization with primary practice located at 5003 North Illinois Street Suite 1, Farview Heights IL 62208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty.
Kidney & Hypertenstion Associates Mid-America Llc can be contacted via phone (618) 239-9500, or through Mallick, Meher S via phone (618) 239-9500.
Contact Information
Primary practice address
5003 North Illinois Street Suite 1
Farview Heights IL 62208
Phone: (618) 239-9500
Fax: (618) 239-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X |
Profile Details
| NPI number | 1114783859 |
|---|---|
| LBN Legal business name | Kidney & Hypertenstion Associates Mid-America Llc |
| DBA Doing business as | |
| Authorized official | Mallick, Meher S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2024 |
| Last updated | Feb 21st, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114783859 | NPPES |
| Illinois | MEDICAID | 03609903 |
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