Physician Rural Health Clinic Of Jefferson County

LBN: Physician Rural Health Clinic Of Jefferson County
Physician Rural Health Clinic Of Jefferson County is an health care organization with primary practice located at 3307 Broadway St Ste 130, Mount Vernon IL 62864-2347. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Physician Rural Health Clinic Of Jefferson County can be contacted via phone (618) 244-2560, or through Gupta, Veena K via phone (618) 244-7200.

Contact Information

Primary practice address
3307 Broadway St Ste 130 Mount Vernon IL 62864-2347
Phone: (618) 244-2560
Fax: (618) 244-1572
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Veena K Doctor of Medicine (MD)
Phone: (618) 244-7200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1649283870
LBN Legal business name Physician Rural Health Clinic Of Jefferson County
DBA Doing business as
Authorized official Gupta, Veena K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 15th, 2008 - about 16 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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