St Claire - Belleville

LBN: Premise Health Of Illinois Medical, Pc
St Claire - Belleville is an health care organization with primary practice located at 19 Public Sq , Belleville IL 62220-1695. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Premise Health Of Illinois Medical, Pc can be contacted via phone (843) 918-2040, or through Leizman, Jon via phone (615) 468-6270.

Contact Information

Primary practice address
19 Public Sq Belleville IL 62220-1695
Phone: (843) 918-2040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon
Phone: (615) 468-6270

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1598438434
LBN Legal business name Premise Health Of Illinois Medical, Pc
DBA Doing business as St Claire - Belleville
Authorized official Leizman, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2021
Last updated Aug 21st, 2023 - about last year

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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