Granite City Clinic Corp

LBN: Granite City Clinic Corp
Granite City Clinic Corp is an health care organization with primary practice located at 2044 Madison Ave Suite 27, Granite City IL 62040-4641. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Granite City Clinic Corp can be contacted via phone (618) 451-7600, or through Fey, Laura J via phone (615) 221-3641.

Contact Information

Primary practice address
2044 Madison Ave Suite 27 Granite City IL 62040-4641
Phone: (618) 451-7600
Fax: (618) 451-7685
Website:
Map and Directions
Authorized official contact:
Name: Fey, Laura J
Phone: (615) 221-3641

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1255387957
LBN Legal business name Granite City Clinic Corp
DBA Doing business as
Authorized official Fey, Laura J
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jul 7th, 2023 - about 3 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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