St. James Physician Hospital Organization

LBN: St. James Physician Hospital Organization
St. James Physician Hospital Organization is an health care organization with primary practice located at 30 E 15Th St Suite #402, Chicago Heights IL 60411-3459. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. St. James Physician Hospital Organization can be contacted via phone (708) 709-2011, or through Shetty, Ravi via phone (708) 709-2011.

Contact Information

Primary practice address
30 E 15Th St Suite #402 Chicago Heights IL 60411-3459
Fax: (708) 709-2002
Website:
Authorized official contact:
Name: Shetty, Ravi

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1952429045
LBN Legal business name St. James Physician Hospital Organization
DBA Doing business as
Authorized official Shetty, Ravi
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 22nd, 2020 - about 5 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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