Gholson Funeral Home Ltd

LBN: Gholson Funeral Home Ltd
Gholson Funeral Home Ltd is an health care organization with primary practice located at 500 S Washington St , Mc Leansboro IL 62859-1238. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Gholson Funeral Home Ltd can be contacted via phone (618) 643-2321, or through Gholson, J.B. via phone (618) 643-2321.

Contact Information

Primary practice address
500 S Washington St Mc Leansboro IL 62859-1238
Phone: (618) 643-2321
Fax: (618) 643-2322
Website:
Map and Directions
Authorized official contact:
Name: Gholson, J.B.
Phone: (618) 643-2321

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 5172 Illinois

Profile Details

NPI number 1639241979
LBN Legal business name Gholson Funeral Home Ltd
DBA Doing business as
Authorized official Gholson, J.B.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Feb 21st, 2012 - about 14 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 1639241979 NPPES
Illinois Other 590155125 RAILROAD MEDICARE
Illinois Other 0008470065 RAILROAD MEDICARE

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