River City Family Practice Sc

LBN: River City Family Practice Sc
River City Family Practice Sc is an health care organization with primary practice located at 141 Sinsinawa Ave , East Dubuque IL 61025-1218. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. River City Family Practice Sc can be contacted via phone (815) 747-3114, or through Sprengelmeyer, Michelle M via phone (815) 747-3114.

Contact Information

Primary practice address
141 Sinsinawa Ave East Dubuque IL 61025-1218
Fax: (814) 747-3131
Website:
Authorized official contact:
Name: Sprengelmeyer, Michelle M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1366540205
LBN Legal business name River City Family Practice Sc
DBA Doing business as
Authorized official Sprengelmeyer, Michelle M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366540205 NPPES
Iowa MEDICAID 2137711

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