Pontiac-Wm Holliday Sd 105

LBN: Pontiac-Wm Holliday Sd 105
Pontiac-Wm Holliday Sd 105 is an health care organization with primary practice located at 400 Ashland Ave , Fairview Heights IL 62208-2802. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Pontiac-Wm Holliday Sd 105 can be contacted via phone (618) 233-2320, or through Sy, Darrell L via phone (618) 233-2320.

Contact Information

Primary practice address
400 Ashland Ave Fairview Heights IL 62208-2802
Phone: (618) 233-2320
Fax: (618) 233-0918
Website:
Map and Directions
Authorized official contact:
Name: Sy, Darrell L
Phone: (618) 233-2320

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1598804031
LBN Legal business name Pontiac-Wm Holliday Sd 105
DBA Doing business as
Authorized official Sy, Darrell L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Aug 22nd, 2020 - about 4 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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