Sa Midtown Clinic

LBN: Swedishamerican Hospital
Sa Midtown Clinic is an health care organization with primary practice located at 1340 Charles St Suite 405, Rockford IL 61104. 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) 696-5353, or through Daniels, Don via phone (815) 966-2084.

Contact Information

Primary practice address
1340 Charles St Suite 405 Rockford IL 61104
Phone: (779) 696-5353
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 1619029881
LBN Legal business name Swedishamerican Hospital
DBA Doing business as Sa Midtown Clinic
Authorized official Daniels, Don
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
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 1619029881 NPPES
Illinois Other 14D0430105 CLIA

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