Midwest Regional Neonatology Associates, Llc

LBN: Midwest Regional Neonatology Associates, Llc
Midwest Regional Neonatology Associates, Llc is an health care organization with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as the primary health care specialty. Midwest Regional Neonatology Associates, Llc can be contacted via phone (618) 543-0721, or through Bolen, Rebecca G via phone (618) 549-8464.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1462
Phone: (618) 543-0721
Fax: (618) 457-4735
Website:
Map and Directions
Authorized official contact:
Name: Bolen, Rebecca G CPC
Phone: (618) 549-8464

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 36112572IL Illinois

Profile Details

NPI number 1609937127
LBN Legal business name Midwest Regional Neonatology Associates, Llc
DBA Doing business as
Authorized official Bolen, Rebecca G CPC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
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 1609937127 NPPES
Illinois Other 03932033 BLUE CROSS BLUE SHEILD

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