Hospital

LBN: Metrosouth Medical Center
Hospital is an health care organization with primary practice located at 12935 Gregory St , Blue Island IL 60406-2428. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Metrosouth Medical Center can be contacted via phone (708) 597-2000, or through Ward, Kimberly via phone (708) 597-2000.

Contact Information

Primary practice address
12935 Gregory St Blue Island IL 60406-2428
Phone: (708) 597-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ward, Kimberly BSN
Phone: (708) 597-2000

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 041144975 Illinois

Profile Details

NPI number 1316279003
LBN Legal business name Metrosouth Medical Center
DBA Doing business as Hospital
Authorized official Ward, Kimberly BSN
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2010
Last updated Feb 4th, 2010 - about 14 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 1316279003 NPPES
Illinois Other 041144975 ILL. DEPT OF PROFESSIONAL REGULATION REG PROF NURSE

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