Poolside Health & Wellness Center

LBN: Poolside Health & Wellness Center
Poolside Health & Wellness Center is an health care organization with primary practice located at 3733 Poolside Dr , Danville IL 61832-1144. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Poolside Health & Wellness Center can be contacted via phone (217) 446-9283, or through Owens, Patricia A via phone (217) 326-2911.

Contact Information

Primary practice address
3733 Poolside Dr Danville IL 61832-1144
Phone: (217) 446-9283
Fax: (217) 442-2181
Website:
Map and Directions
Authorized official contact:
Name: Owens, Patricia A
Phone: (217) 326-2911

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 13304532 Illinois

Profile Details

NPI number 1699832683
LBN Legal business name Poolside Health & Wellness Center
DBA Doing business as
Authorized official Owens, Patricia A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 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 1699832683 NPPES
Illinois Other 515838 HEALTHLINK PROVIDER ID
Illinois Other 075432 HEALTHLINK PROVIDER ID
Illinois Other 09232013 HEALTHLINK PROVIDER ID

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