Kaskaskia Medical Center, Ltd

LBN: Kaskaskia Medical Center, Ltd
Kaskaskia Medical Center, Ltd is an health care organization with primary practice located at 1003 N 8Th St , Vandalia IL 62471-1238. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Kaskaskia Medical Center, Ltd can be contacted via phone (618) 283-4445, or through Darmadi, Michael via phone (618) 283-4445.

Contact Information

Primary practice address
1003 N 8Th St Vandalia IL 62471-1238
Phone: (618) 283-4445
Fax: (618) 283-4446
Website:
Map and Directions
Authorized official contact:
Name: Darmadi, Michael Doctor of Medicine (MD)
Phone: (618) 283-4445

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036097600 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036097600 Illinois

Profile Details

NPI number 1508844325
LBN Legal business name Kaskaskia Medical Center, Ltd
DBA Doing business as
Authorized official Darmadi, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated Mar 26th, 2018 - about 8 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 1508844325 NPPES
Illinois MEDICAID 036097600

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