Mattoon Estates South, Llc

LBN: Mattoon Estates South, Llc
Mattoon Estates South, Llc is an health care organization with primary practice located at 2008 S 9Th St , Mattoon IL 61938-6164. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Mattoon Estates South, Llc can be contacted via phone (217) 235-5871, or through Holtz, John via phone (541) 747-3373.

Contact Information

Primary practice address
2008 S 9Th St Mattoon IL 61938-6164
Phone: (217) 235-5871
Fax: (217) 235-5899
Website:
Map and Directions
Authorized official contact:
Name: Holtz, John
Phone: (541) 747-3373

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1518163187
LBN Legal business name Mattoon Estates South, Llc
DBA Doing business as
Authorized official Holtz, John
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated May 14th, 2008 - about 17 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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