Swedishamerican Immediate Care

LBN: Swedishamerican Hospital
Swedishamerican Immediate Care is an health care organization with primary practice located at 3775 N Mulford Rd , Rockford IL 61114-5632. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Swedishamerican Hospital can be contacted via phone (779) 696-9202, or through Daniels, Don via phone (815) 966-2084.

Contact Information

Primary practice address
3775 N Mulford Rd Rockford IL 61114-5632
Phone: (779) 696-9202
Fax: (779) 696-7794
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Don
Phone: (815) 966-2084

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1073675187
LBN Legal business name Swedishamerican Hospital
DBA Doing business as Swedishamerican Immediate Care
Authorized official Daniels, Don
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Sep 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073675187 NPPES
Illinois Other 14D0430201 CLIA
Illinois Other 066 CLIA

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