South County Ent

LBN: South County Ent
South County Ent is an health care organization with primary practice located at 60 N Saint Joseph Ave Suite C, Niles MI 49120-2296. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South County Ent can be contacted via phone (269) 687-2910, or through Middleton, Mary Geegan via phone (269) 684-0259.

Contact Information

Primary practice address
60 N Saint Joseph Ave Suite C Niles MI 49120-2296
Phone: (269) 687-2910
Fax: (269) 687-8770
Website:
Map and Directions
Authorized official contact:
Name: Middleton, Mary Geegan
Phone: (269) 684-0259

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301074195 Michigan

Profile Details

NPI number 1740252535
LBN Legal business name South County Ent
DBA Doing business as
Authorized official Middleton, Mary Geegan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2006
Last updated Nov 1st, 2007 - about 18 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 1740252535 NPPES
Other DA1319 RAILROAD MEDICARE

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