Prairie Sleep Center Llc

LBN: Prairie Sleep Center Llc
Prairie Sleep Center Llc is an health care organization with primary practice located at 2900 Greenbriar Dr , Springfield IL 62704-6418. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. Prairie Sleep Center Llc can be contacted via phone (217) 546-0412, or through Desanto, Tanya L via phone (217) 546-0412.

Contact Information

Primary practice address
2900 Greenbriar Dr Springfield IL 62704-6418
Phone: (217) 546-0412
Fax: (217) 546-0919
Website:
Map and Directions
Authorized official contact:
Name: Desanto, Tanya L
Phone: (217) 546-0412

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1316598311
LBN Legal business name Prairie Sleep Center Llc
DBA Doing business as
Authorized official Desanto, Tanya L
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 23rd, 2019
Last updated Oct 16th, 2019 - about 7 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 1316598311 NPPES
Illinois Other 1285778522 DR. TANYA L. DESANTO

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