Prairie Hills At Clinton Operations Llc

LBN: Prairie Hills At Clinton Operations Llc
Prairie Hills At Clinton Operations Llc is an health care organization with primary practice located at 1701 13Th Ave N , Clinton IA 52732-3341. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Prairie Hills At Clinton Operations Llc can be contacted via phone (563) 243-6870, or through Hildebrandt, Timothy R via phone (641) 472-0518.

Contact Information

Primary practice address
1701 13Th Ave N Clinton IA 52732-3341
Phone: (563) 243-6870
Fax: (563) 242-0404
Website:
Map and Directions
Authorized official contact:
Name: Hildebrandt, Timothy R MANAGING MEMBER
Phone: (641) 472-0518

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1316152564
LBN Legal business name Prairie Hills At Clinton Operations Llc
DBA Doing business as
Authorized official Hildebrandt, Timothy R MANAGING MEMBER
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 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 1316152564 NPPES
Iowa MEDICAID 0733121

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