Martin Luther King Jr. Community Service Area Project

LBN: Martin Luther King Jr. Community Service Area Project
Martin Luther King Jr. Community Service Area Project is an health care organization with primary practice located at 555 N Court St Ste 204 , Rockford IL 61103-6898. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Martin Luther King Jr. Community Service Area Project can be contacted via phone (815) 233-9915, or through Collins, Charles W via phone (815) 233-9915.

Contact Information

Primary practice address
555 N Court St Ste 204 Rockford IL 61103-6898
Phone: (815) 233-9915
Fax: (815) 962-2180
Website:
Map and Directions
Authorized official contact:
Name: Collins, Charles W REV.
Phone: (815) 233-9915

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 08002 Illinois

Profile Details

NPI number 1619118304
LBN Legal business name Martin Luther King Jr. Community Service Area Project
DBA Doing business as
Authorized official Collins, Charles W REV.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2009
Last updated Mar 10th, 2009 - about 16 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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