Prophetstown Lyndon Tampico Cu

LBN: Prophetstown Lyndon Tampico Cu
Prophetstown Lyndon Tampico Cu is an health care organization with primary practice located at 310 W Riverside Dr , Prophetstown IL 61277-1013. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Prophetstown Lyndon Tampico Cu can be contacted via phone (815) 622-0858, or through Hoffman, Drew via phone (815) 622-0858.

Contact Information

Primary practice address
310 W Riverside Dr Prophetstown IL 61277-1013
Phone: (815) 622-0858
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hoffman, Drew
Phone: (815) 622-0858

Health care specialties

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

Profile Details

NPI number 1306048855
LBN Legal business name Prophetstown Lyndon Tampico Cu
DBA Doing business as
Authorized official Hoffman, Drew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 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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