City Of East Peoria

LBN: City Of East Peoria
City Of East Peoria is an health care organization with primary practice located at 201 W Washington St , East Peoria IL 61611-2416. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of East Peoria can be contacted via phone (309) 698-4740, or through Vaughn, Michael via phone (309) 698-4740.

Contact Information

Primary practice address
201 W Washington St East Peoria IL 61611-2416
Phone: (309) 698-4740
Fax: (309) 698-4725
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Michael
Phone: (309) 698-4740

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 2968 Illinois

Profile Details

NPI number 1285653485
LBN Legal business name City Of East Peoria
DBA Doing business as
Authorized official Vaughn, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 20th, 2008 - about 17 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 1285653485 NPPES
Illinois Other 9020610 BCBS
Illinois MEDICAID 690333345001 BCBS

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