Medical Associates Of Jerseyville, Ltd.

LBN: Medical Associates Of Jerseyville, Ltd.
Medical Associates Of Jerseyville, Ltd. is an health care organization with primary practice located at 270 Maple Summit Rd Mcdow Building, Jerseyville IL 62052-2004. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Medical Associates Of Jerseyville, Ltd. can be contacted via phone (618) 498-7108, or through Benware, Terry Lynn via phone (618) 498-7108.

Contact Information

Primary practice address
270 Maple Summit Rd Mcdow Building Jerseyville IL 62052-2004
Phone: (618) 498-7108
Fax: (618) 498-7919
Website:
Map and Directions
Authorized official contact:
Name: Benware, Terry Lynn Registered Nurse (RN)
Phone: (618) 498-7108

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1750353454
LBN Legal business name Medical Associates Of Jerseyville, Ltd.
DBA Doing business as
Authorized official Benware, Terry Lynn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2006
Last updated Apr 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750353454 NPPES
Illinois Other 042007207 CORPORATE LICENSE

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