University Clinic At South Beloit - Junior High
LBN: The Board Of Trustees Of The University Of Illinois
University Clinic At South Beloit - Junior High is an health care organization with primary practice located at 840 Blackhawk Blvd , South Beloit IL 61080-2263. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty.
The Board Of Trustees Of The University Of Illinois can be contacted via phone (815) 395-5861, or through Harner, Michael via phone (815) 395-5637.
Contact Information
Primary practice address
840 Blackhawk Blvd
South Beloit IL 61080-2263
Phone: (815) 395-5861
Fax: (815) 395-5575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Student Health | 261QS1000X |
Profile Details
| NPI number | 1871905190 |
|---|---|
| LBN Legal business name | The Board Of Trustees Of The University Of Illinois |
| DBA Doing business as | University Clinic At South Beloit - Junior High |
| Authorized official | Harner, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2014 |
| Last updated | May 21st, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871905190 | NPPES |
| Illinois | MEDICAID | PENDING |
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