Mercy Crystal Lake Hospital And Medical Center Inc
LBN: Mercy Crystal Lake Hospital And Medical Center Inc
Mercy Crystal Lake Hospital And Medical Center Inc is an health care organization with primary practice located at 875 S. Route 31 Ste 1-100L, Crystal Lake IL 60014-8190. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Mercy Crystal Lake Hospital And Medical Center Inc can be contacted via phone (779) 220-5200, or through Anderson, Todd via phone (815) 971-6752.
Contact Information
Primary practice address
875 S. Route 31 Ste 1-100L
Crystal Lake IL 60014-8190
Phone: (779) 220-5200
Fax: (779) 220-5325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1942084538 |
|---|---|
| LBN Legal business name | Mercy Crystal Lake Hospital And Medical Center Inc |
| DBA Doing business as | |
| Authorized official | Anderson, Todd |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 23rd, 2023 |
| Last updated | Aug 23rd, 2023 - about 2 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 | 1942084538 | NPPES |
| Illinois | Other | 054-022562 | IL STATE LICENSE |
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