STERLING ROCK FALLS CLINIC LTD NPI 1760564330

NPI Information

NPI: 1760564330
Provider Name: STERLING ROCK FALLS CLINIC, LTD

Doing Business As: MORRISON CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
105 S HEATON ST
MORRISON, IL
ZIP 61270
Phone: (815) 772-8100
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STERLING ROCK FALLS CLINIC, LTD is a multi-specialty clinic center in Morrison, IL. STERLING ROCK FALLS CLINIC, LTD NPI is 1760564330. The provider is registered as an organization entity type.
The provider Is Doing Business As Morrison Clinic.

The provider's business location address is:

105 S HEATON ST
MORRISON, IL
ZIP 61270-007
Phone: (815) 772-8100

The provider's authorized official is Jeffrey Lemay .
The authorized official title is Vp-board Of Directors and has the following contact phone number (815) 625-4790.

The CLIA number assigned to this NPI record is 14D0924085 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/11/2008.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9815737	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	257970	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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

NPI Synchronization or Removal

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