Sa Five Points Clinic

LBN: Swedishamerican Hospital
Sa Five Points Clinic is an health care organization with primary practice located at 2404 Charles St , Rockford IL 61108. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Swedishamerican Hospital can be contacted via phone (779) 696-7910, or through Daniels, Don via phone (815) 966-2084.

Contact Information

Primary practice address
2404 Charles St Rockford IL 61108
Phone: (779) 696-7910
Fax:
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 / Nurse Practitioner 363L00000X

Profile Details

NPI number 1093827115
LBN Legal business name Swedishamerican Hospital
DBA Doing business as Sa Five Points Clinic
Authorized official Daniels, Don
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 12th, 2018 - about 6 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 1093827115 NPPES
Illinois Other 016 TRICARE SUFFIX #
Illinois Other 14D0430291 TRICARE SUFFIX #

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