Danville Polyclinic Ltd Astc

LBN: Danville Polyclinic, Ltd
Danville Polyclinic Ltd Astc is an health care organization with primary practice located at 707 N Logan Ave , Danville IL 61832-4360. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Danville Polyclinic, Ltd can be contacted via phone (217) 477-4794, or through Edington, Melissa A via phone (217) 477-4794.

Contact Information

Primary practice address
707 N Logan Ave Danville IL 61832-4360
Phone: (217) 477-4794
Fax: (217) 477-4757
Website:
Map and Directions
Authorized official contact:
Name: Edington, Melissa A
Phone: (217) 477-4794

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 7002371 Illinois

Profile Details

NPI number 1538101373
LBN Legal business name Danville Polyclinic, Ltd
DBA Doing business as Danville Polyclinic Ltd Astc
Authorized official Edington, Melissa A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 30th, 2008 - about 18 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 1538101373 NPPES
Illinois Other 1525 BCBS OF ILLINOIS
Illinois Other 167654 BCBS OF ILLINOIS
Illinois MEDICAID 200315840A BCBS OF ILLINOIS

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