Crystal Lake Emergency

LBN: City Of Crystal Lake
Crystal Lake Emergency is an health care organization with primary practice located at 100 W Woodstock St , Crystal Lake IL 60014-4262. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of Crystal Lake can be contacted via phone (815) 459-2020, or through Moore, James via phone (815) 459-2020.

Contact Information

Primary practice address
100 W Woodstock St Crystal Lake IL 60014-4262
Phone: (815) 459-2020
Fax: (815) 477-2568
Website:
Map and Directions
Authorized official contact:
Name: Moore, James
Phone: (815) 459-2020

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 7140 Illinois

Profile Details

NPI number 1366469215
LBN Legal business name City Of Crystal Lake
DBA Doing business as Crystal Lake Emergency
Authorized official Moore, James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 1st, 2013 - about 12 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 1366469215 NPPES
Illinois Other 0004531041 AETNA
Illinois Other 5670002 AETNA
Illinois Other 590028206 AETNA

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