The Bridge Clinic Of Rockofrd

LBN: The Bridge Clinic Of Rockofrd
The Bridge Clinic Of Rockofrd is an health care organization with primary practice located at 318 N Church St , Rockford IL 61101-1006. The organization recently has 2 registered licenses in different health care specialties including Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Primary Care. Agencies / Voluntary or Charitable is the primary health care specialty. The Bridge Clinic Of Rockofrd can be contacted via phone (815) 494-1594, or through Olin, Annette via phone (815) 494-1594.

Contact Information

Primary practice address
318 N Church St Rockford IL 61101-1006
Phone: (815) 494-1594
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olin, Annette Doctor of Medicine (MD)
Phone: (815) 494-1594

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1154798916
LBN Legal business name The Bridge Clinic Of Rockofrd
DBA Doing business as
Authorized official Olin, Annette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2015
Last updated Aug 27th, 2015 - about 10 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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