Professional Health Services

LBN: Stacy Gardner
Professional Health Services is an health care organization with primary practice located at 410 W Saint Louis St , West Frankfort IL 62896-1956. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Stacy Gardner can be contacted via phone (618) 932-2200, or through Gardner, Stacy via phone (618) 932-2200.

Contact Information

Primary practice address
410 W Saint Louis St West Frankfort IL 62896-1956
Phone: (618) 932-2200
Fax: (618) 932-2202
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Stacy FNP-BC
Phone: (618) 932-2200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 209007026 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1285806422
LBN Legal business name Stacy Gardner
DBA Doing business as Professional Health Services
Authorized official Gardner, Stacy FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2008
Last updated Aug 17th, 2009 - about 15 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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