Health One Of Central Illinois

LBN: Hac 2 Inc
Health One Of Central Illinois is an health care organization with primary practice located at 1053 Jason Pl , Chatham IL 62629-2018. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hac 2 Inc can be contacted via phone (217) 483-7431, or through Mattera, Donna via phone (217) 622-9276.

Contact Information

Primary practice address
1053 Jason Pl Chatham IL 62629-2018
Phone: (217) 483-7431
Fax: (217) 483-7491
Website:
Map and Directions
Authorized official contact:
Name: Mattera, Donna
Phone: (217) 622-9276

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 93013469 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1518000926
LBN Legal business name Hac 2 Inc
DBA Doing business as Health One Of Central Illinois
Authorized official Mattera, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1518000926 NPPES
Other 1478634 OTHER ID NUMBER-COMMERCIAL NUMBER

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