Oncology Hematology Associates Of Central Il, Pc
LBN: Oncology Hematology Associates Of Central Il, Pc
Oncology Hematology Associates Of Central Il, Pc is an health care organization with primary practice located at 1641 Broadway St , Pekin IL 61554-3805. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Oncology Hematology Associates Of Central Il, Pc can be contacted via phone (309) 243-3014, or through Harlow, Jason via phone (309) 243-3403.
Contact Information
Primary practice address
1641 Broadway St
Pekin IL 61554-3805
Phone: (309) 243-3014
Fax: (309) 243-3032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1518436757 |
|---|---|
| LBN Legal business name | Oncology Hematology Associates Of Central Il, Pc |
| DBA Doing business as | |
| Authorized official | Harlow, Jason PHARMD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 16th, 2018 |
| Last updated | Nov 16th, 2018 - about 6 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 | 1518436757 | NPPES |
| Illinois | Other | 054020985 | STATE LICENSE |
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