Southgate Health Care Center, Inc

LBN: Southgate Health Care Center, Inc
Southgate Health Care Center, Inc is an health care organization with primary practice located at 900 E 9Th St , Metropolis IL 62960-2700. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Southgate Health Care Center, Inc can be contacted via phone (618) 524-2683, or through Mahoney, Rebekah via phone (618) 524-2683.

Contact Information

Primary practice address
900 E 9Th St Metropolis IL 62960-2700
Fax: (618) 524-3048
Website:
Authorized official contact:
Name: Mahoney, Rebekah

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0017996 Illinois

Profile Details

NPI number 1710975842
LBN Legal business name Southgate Health Care Center, Inc
DBA Doing business as
Authorized official Mahoney, Rebekah
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Jan 27th, 2012 - about 12 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 1710975842 NPPES
Other 50044 BLUE CROSS BLUE SHIELD

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