Vandalia Estates, Llc in Vandalia - Point Of Service
Vandalia Estates, Llc - NPI 1013113687
Vandalia Estates, Llc is a Point Of Service in Vandalia, Illinois. Vandalia Estates, Llc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Vandalia Estates, Llc is 1013113687. The last update date is 2008-05-14.
Vandalia Estates, Llc's current location address is 1607 W Fillmore St, Vandalia, Illinois. You can contact this provider via phone number 6182839825 and fax number 6182839926. The mailing address for Vandalia Estates, Llc is 1607 W Fillmore St, Vandalia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vandalia Estates, Llc |
|---|---|
| Address | 1607 W Fillmore St, Vandalia, Illinois |
| Phone Number | 6182839825 |
| Fax Number | 6182839926 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Holtz John |
| Telephone Number | 5417473373 |
NPI Number Detail
| NPI Number | 1013113687 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 1607 W Fillmore St |
|---|---|
| City | Vandalia |
| State | Illinois (IL) |
| Post Code | 624713112 |
| Phone Number | 6182839825 |
| Fax Number | 6182839926 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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What is the unique provider identifier assigned to Vandalia Estates, Llc?
The Vandalia Estates, Llc has been issued the NPI (National Provider Identifier) 1013113687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Vandalia Estates, Llc?
The Vandalia Estates, Llc is physically situated at 1607 W Fillmore St, in the city of Vandalia, state of IL, with the postal code 624713112.
What is the Vandalia Estates, Llc's specialty and taxonomy code?
The Vandalia Estates, Llc's specialty is Point Of Service, and the corresponding taxonomy code is 305S00000X.
When was the Vandalia Estates, Llc's 1013113687 issued?
The Vandalia Estates, Llc's 1013113687 was issued on 2007-06-21.
As of what date was the information pertaining to Vandalia Estates, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Vandalia Estates, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-14.
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