Vine St Clinic
LBN: Vine St Clinic
Vine St Clinic is an health care organization with primary practice located at 3225 Hedley Rd , Springfield IL 62711-6248. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Vine St Clinic can be contacted via phone (217) 726-7300, or through Alexander, Richard B via phone (217) 726-7300.
Contact Information
Primary practice address
3225 Hedley Rd
Springfield IL 62711-6248
Phone: (217) 726-7300
Fax: (217) 726-5989
Website:
Authorized official contact:
Name: Alexander, Richard B Doctor of Medicine (MD)
Phone: (217) 726-7300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X |
Profile Details
| NPI number | 1730217662 |
|---|---|
| LBN Legal business name | Vine St Clinic |
| DBA Doing business as | |
| Authorized official | Alexander, Richard B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Apr 1st, 2008 - about 16 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 | 1730217662 | NPPES |
| Georgia | Other | CL5057 | RAILROAD MEDICARE |
| Georgia | Other | 08415473 | RAILROAD MEDICARE |
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