Kidney Care Services Of Southern Illinois, Ltd in Du Quoin - Medical Specialty
Kidney Care Services Of Southern Illinois, Ltd - NPI 1669501912
Kidney Care Services Of Southern Illinois, Ltd is a Medical Specialty in Du Quoin, Illinois. Kidney Care Services Of Southern Illinois, Ltd practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Kidney Care Services Of Southern Illinois, Ltd is 1669501912. The last update date is 2008-08-12.
Kidney Care Services Of Southern Illinois, Ltd's current location address is Po Box 181, Du Quoin, Illinois. You can contact this provider via phone number 6185423048 and fax number 6185423097. The mailing address for Kidney Care Services Of Southern Illinois, Ltd is Po Box 181, Du Quoin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidney Care Services Of Southern Illinois, Ltd |
|---|---|
| Address | Po Box 181, Du Quoin, Illinois |
| Phone Number | 6185423048 |
| Fax Number | 6185423097 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shafi S Mohammad |
| Credentials | MC |
| Telephone Number | 6185423048 |
NPI Number Detail
| NPI Number | 1669501912 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | Po Box 181 |
|---|---|
| City | Du Quoin |
| State | Illinois (IL) |
| Post Code | 628320181 |
| Phone Number | 6185423048 |
| Fax Number | 6185423097 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 36102569 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36102569 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kidney Care Services Of Southern Illinois, Ltd by the Centers for Medicare & Medicaid Services?
The Kidney Care Services Of Southern Illinois, Ltd has been issued the NPI (National Provider Identifier) 1669501912, 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 Kidney Care Services Of Southern Illinois, Ltd?
The Kidney Care Services Of Southern Illinois, Ltd is physically situated at Po Box 181, in the city of Du Quoin, state of IL, with the postal code 628320181.
What is Kidney Care Services Of Southern Illinois, Ltd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kidney Care Services Of Southern Illinois, Ltd is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
On what date did Kidney Care Services Of Southern Illinois, Ltd receive its 1669501912 assignment from the Centers for Medicare & Medicaid Services?
The Kidney Care Services Of Southern Illinois, Ltd was assigned its 1669501912 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kidney Care Services Of Southern Illinois, Ltd most recently updated or refreshed?
The details pertaining to the Kidney Care Services Of Southern Illinois, Ltd, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-12.