Decatur Digestive Disease Center Llc
LBN: Decatur Digestive Disease Center Llc
Decatur Digestive Disease Center Llc is an health care organization with primary practice located at 2 Memorial Dr Suite 102 Physician Plaza West, Decatur IL 62526-3950. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Decatur Digestive Disease Center Llc can be contacted via phone (217) 233-0003, or through Eloy, Victor via phone (217) 233-0003.
Contact Information
Primary practice address
2 Memorial Dr Suite 102 Physician Plaza West
Decatur IL 62526-3950
Phone: (217) 233-0003
Fax: (217) 233-0077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 7002983 | Illinois |
Profile Details
| NPI number | 1134185564 |
|---|---|
| LBN Legal business name | Decatur Digestive Disease Center Llc |
| DBA Doing business as | |
| Authorized official | Eloy, Victor Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 1st, 2013 - about 13 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 | 1134185564 | NPPES |
| Illinois | Other | 50402 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | P00257307 | BLUE CROSS BLUE SHIELD |
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