Ingalls Proof Phcy

LBN: Medcentrix Inc
Ingalls Proof Phcy is an health care organization with primary practice located at 31 W 155Th St , Harvey IL 60426-3556. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Medcentrix Inc can be contacted via phone (708) 589-2019, or through Rutkowski, Ronald via phone (815) 703-8434.

Contact Information

Primary practice address
31 W 155Th St Harvey IL 60426-3556
Phone: (708) 589-2019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rutkowski, Ronald RPH
Phone: (815) 703-8434

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054016131 Illinois

Profile Details

NPI number 1346372372
LBN Legal business name Medcentrix Inc
DBA Doing business as Ingalls Proof Phcy
Authorized official Rutkowski, Ronald RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Feb 4th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346372372 NPPES
Other 1480639 NCPDP PROVIDER IDENTIFICATION NUMBER

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