1295940062 NPI number — IRVINGTON TOWNSHIP RURAL HEALTH CLINIC LLC

Table of content: (NPI 1295940062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295940062 NPI number — IRVINGTON TOWNSHIP RURAL HEALTH CLINIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IRVINGTON TOWNSHIP RURAL HEALTH CLINIC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295940062
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
620 N MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOYLETON
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62803-2046
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
618-663-0547
Provider Business Mailing Address Fax Number:
418-787-0423

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
620 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOYLETON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62803-2046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-663-0547
Provider Business Practice Location Address Fax Number:
418-787-0423
Provider Enumeration Date:
05/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ORRILL
Authorized Official First Name:
KRISTINA
Authorized Official Middle Name:
Authorized Official Title or Position:
OPERATIONS MANAGER
Authorized Official Telephone Number:
618-663-0547

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  NONE , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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