Memorial Industrial Rehabilitation Of Jacksonville

LBN: Memorial Industrial Rehabilitation Of Jacksonville
Memorial Industrial Rehabilitation Of Jacksonville is an health care organization with primary practice located at 901 W Morton Ave Suite 16A, Jacksonville IL 62650-3146. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant is the primary health care specialty. Memorial Industrial Rehabilitation Of Jacksonville can be contacted via phone (217) 245-4640, or through Clarke, Robert T via phone (217) 788-3340.

Contact Information

Primary practice address
901 W Morton Ave Suite 16A Jacksonville IL 62650-3146
Phone: (217) 245-4640
Fax: (217) 245-4642
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Robert T
Phone: (217) 788-3340

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1093775561
LBN Legal business name Memorial Industrial Rehabilitation Of Jacksonville
DBA Doing business as
Authorized official Clarke, Robert T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1093775561 NPPES
Other 06932016 BCBS GROUP NUMBER

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