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1023465507 NPI number — EDWARDSVILLE HEALTH CARE CENTER INVESTORS LLC

NPI Number: 1023465507
Health Care Provider/Practitioner: EDWARDSVILLE HEALTH CARE CENTER INVESTORS LLC

Information about “1023465507” NPI (EDWARDSVILLE HEALTH CARE CENTER INVESTORS LLC) exists in 1023465507 in HTML format HTML  |  1023465507 in plain Text format TXT  |  1023465507 in PDF (Portable Document Format) PDF  |  1023465507 in an XML format XML  formats.

NPI Number : 1023465507 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023465507",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EDWARDSVILLE HEALTH CARE CENTER INVESTORS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1095 UNIVERSITY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDWARDSVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62025-3961",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-656-1081",
    "MailingAddressFaxNumber": "618-656-7083",
    "FirstLinePracticeLocationAddress": "1095 UNIVERSITY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EDWARDSVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62025-3961",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-656-1081",
    "PracticeLocationAddressFaxNumber": "618-656-7083",
    "EnumerationDate": "05/16/2016",
    "LastUpdateDate": "05/16/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADKINS",
    "AuthorizedOfficialFirstName": "JAMMIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "REGIONAL DIRECTOR OF A/R",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "812-598-2645",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BX2000X",
        "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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