Mt Vernon Family Practice Pc
LBN: Mt Vernon Family Practice Pc
Mt Vernon Family Practice Pc is an health care organization with primary practice located at 4230 Lincolnshire Dr Ste G , Mount Vernon IL 62864-2189. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Mt Vernon Family Practice Pc can be contacted via phone (618) 244-6770, or through Pearson, Linden R via phone (618) 244-6770.
Contact Information
Primary practice address
4230 Lincolnshire Dr Ste G
Mount Vernon IL 62864-2189
Phone: (618) 244-6770
Fax: (618) 244-6772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036063418 | Illinois |
Profile Details
| NPI number | 1215141916 |
|---|---|
| LBN Legal business name | Mt Vernon Family Practice Pc |
| DBA Doing business as | |
| Authorized official | Pearson, Linden R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Aug 12th, 2015 - about 9 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 | 1215141916 | NPPES |
| Illinois | Other | 174857 | HEALTHLINK PPO HMO |
| Illinois | MEDICAID | 036063418 | HEALTHLINK PPO HMO |
| Illinois | Other | 080168274 | HEALTHLINK PPO HMO |
| Illinois | Other | 355486181 | HEALTHLINK PPO HMO |
| Illinois | Other | 04127526 | HEALTHLINK PPO HMO |
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