Anderson Medical Group, Llc in Maryville - Multi-specialty
Anderson Medical Group, Llc - NPI 1700807716
Anderson Medical Group, Llc is a Multi-specialty in Maryville, Illinois. Anderson Medical Group, Llc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Anderson Medical Group, Llc is 1700807716. The last update date is 2020-02-11.
Anderson Medical Group, Llc's current location address is 6810 State Route 162, Maryville, Illinois. You can contact this provider via phone number 6182885711. The mailing address for Anderson Medical Group, Llc is 6810 State Route 162, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anderson Medical Group, Llc |
|---|---|
| Address | 6810 State Route 162, Maryville, Illinois |
| Phone Number | 6182885711 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Marshall Michael |
| Telephone Number | 6183916402 |
NPI Number Detail
| NPI Number | 1700807716 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2020-02-11 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6182885711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the unique 10-digit identification code assigned to Anderson Medical Group, Llc by the Centers for Medicare & Medicaid Services?
The Anderson Medical Group, Llc has been issued the NPI (National Provider Identifier) 1700807716, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Anderson Medical Group, Llc?
The Anderson Medical Group, Llc is physically situated at 6810 State Route 162, in the city of Maryville, state of IL, with the postal code 620628501.
What is Anderson Medical Group, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Anderson Medical Group, Llc is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.
On what date did the Anderson Medical Group, Llc receive the assignment of its 1700807716 from the Centers for Medicare & Medicaid Services?
The Anderson Medical Group, Llc was issued its 1700807716 by the Centers for Medicare & Medicaid Services on 2006-07-22.
As of what date were the details pertaining to Anderson Medical Group, Llc last refreshed?
The information related to the Anderson Medical Group, Llc, including its address, specialty, and other relevant details, was last updated on 2020-02-11.