Mercyhealth Hospital And Physician Clinic-Crystal Lake

LBN: Mercy Crystal Lake Hospital And Medical Center Inc
Mercyhealth Hospital And Physician Clinic-Crystal Lake is an health care organization with primary practice located at 875 S Route 31 , Crystal Lake IL 60014. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Mercy Crystal Lake Hospital And Medical Center Inc can be contacted via phone (608) 756-6080, or through Anderson, Todd via phone (815) 971-6752.

Contact Information

Primary practice address
875 S Route 31 Crystal Lake IL 60014
Fax: (608) 756-6236
Website:
Authorized official contact:
Name: Anderson, Todd

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1023754371
LBN Legal business name Mercy Crystal Lake Hospital And Medical Center Inc
DBA Doing business as Mercyhealth Hospital And Physician Clinic-Crystal Lake
Authorized official Anderson, Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date May 10th, 2022
Last updated Nov 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023754371 NPPES
Illinois Other 140308 IL MEDICARE
Illinois Other 0006403 IL MEDICARE

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