Danville Polyclinic, Ltd in Danville - Multi-specialty
Danville Polyclinic, Ltd - NPI 1336181544
Danville Polyclinic, Ltd is a Multi-specialty in Danville, Illinois. Danville Polyclinic, Ltd practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Danville Polyclinic, Ltd is 1336181544. The last update date is 2008-11-25.
Danville Polyclinic, Ltd's current location address is 707 N Logan Ave, Danville, Illinois. You can contact this provider via phone number 2174466410 and fax number 2174774757. The mailing address for Danville Polyclinic, Ltd is 707 N Logan Ave, Danville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Danville Polyclinic, Ltd |
|---|---|
| Address | 707 N Logan Ave, Danville, Illinois |
| Phone Number | 2174466410 |
| Fax Number | 2174774757 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Edington A Melissa |
| Telephone Number | 2174774750 |
NPI Number Detail
| NPI Number | 1336181544 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2008-11-25 |
Provider Mailing Address Detail
| Address | 707 N Logan Ave |
|---|---|
| City | Danville |
| State | Illinois (IL) |
| Post Code | 618324360 |
| Phone Number | 2174466410 |
| Fax Number | 2174774757 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 60000812 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100002020A | IN | -- | |
| 221069 | BLACK LUNG | ||
| 9215807 | IL | BCBS OF ILLINOIS | |
| 1486765 | UMWA |
Post Comment/ Review Below
What is the unique identifier code issued to Danville Polyclinic, Ltd by the Centers for Medicare & Medicaid Services?
The Danville Polyclinic, Ltd has been assigned the NPI (National Provider Identifier) 1336181544. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Danville Polyclinic, Ltd is physically located?
The Danville Polyclinic, Ltd is situated at the following address: 707 N Logan Ave, Danville, IL 618324360.
What is Danville Polyclinic, Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Danville Polyclinic, Ltd's area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
On what date was the 1336181544 assigned to Danville Polyclinic, Ltd?
The Danville Polyclinic, Ltd was issued its 1336181544 on 2006-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Danville Polyclinic, Ltd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Danville Polyclinic, Ltd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-11-25.
NPI Number: 1932102142
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