King City Physician Company, Llc

LBN: King City Physician Company, Llc
King City Physician Company, Llc is an health care organization with primary practice located at 4117 S Water Tower Pl Suite C, Mount Vernon IL 62864-6567. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is the primary health care specialty. King City Physician Company, Llc can be contacted via phone (618) 242-0672, or through Fey, Laura J via phone (615) 221-3641.

Contact Information

Primary practice address
4117 S Water Tower Pl Suite C Mount Vernon IL 62864-6567
Phone: (618) 242-0672
Fax: (618) 242-0862
Website:
Map and Directions
Authorized official contact:
Name: Fey, Laura J
Phone: (615) 221-3641

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Urology 208800000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1134470859
LBN Legal business name King City Physician Company, Llc
DBA Doing business as
Authorized official Fey, Laura J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2012
Last updated Jul 7th, 2023 - 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.

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