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RED BUD CLINIC CORP NPI 1083617609


NPI Information

NPI: 1083617609
Provider Name: RED BUD CLINIC CORP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
325 SPRING ST
RED BUD, IL
ZIP 62278
Phone: (618) 282-3831
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RED BUD CLINIC CORP is a family medicine in Red Bud, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RED BUD CLINIC CORP NPI is 1083617609. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

325 SPRING ST
RED BUD, IL
ZIP 62278-105
Phone: (618) 282-3831
Fax: (618) 282-6101

The provider's authorized official is Laura J Fey .
The authorized official title is Sr. Director Physician Rev Cycle and has the following contact phone number (615) 221-3641.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 7/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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