George L Alcorn, M.D.
LBN: Madison Specialty Center, Llc
George L Alcorn, M.D. is an health care organization with primary practice located at 2580 Michigan Rd , Madison IN 47250-2491. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Madison Specialty Center, Llc can be contacted via phone (812) 265-5800, or through Norris, Amber via phone (812) 265-5800.
Contact Information
Primary practice address
2580 Michigan Rd
Madison IN 47250-2491
Phone: (812) 265-5800
Fax: (812) 265-5864
Website:
Authorized official contact:
Name: Norris, Amber Licensed Practical Nurse (LPN)
Phone: (812) 265-5800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 01028535A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01028535A | Indiana |
Profile Details
| NPI number | 1366772725 |
|---|---|
| LBN Legal business name | Madison Specialty Center, Llc |
| DBA Doing business as | George L Alcorn, M.D. |
| Authorized official | Norris, Amber Licensed Practical Nurse (LPN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 7th, 2010 |
| Last updated | Jan 15th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366772725 | NPPES |
| Indiana | MEDICAID | 100204700 | |
| Indiana | Other | 15D1076663 | |
| Indiana | Other | 1457341281 |
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