PRESENCE HEALTHCARE SERVICES NPI 1912574930

NPI Information

NPI: 1912574930
Provider Name: PRESENCE HEALTHCARE SERVICES
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D0941482

Address:
335 E 6TH AVE
CLIFTON, IL
ZIP 60927
Phone: (815) 694-2044
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PRESENCE HEALTHCARE SERVICES is a rural health clinic center in Clifton, IL. PRESENCE HEALTHCARE SERVICES NPI is 1912574930. The provider is registered as an organization entity type.

The provider's business location address is:

335 E 6TH AVE
CLIFTON, IL
ZIP 60927-087
Phone: (815) 694-2044

The provider's authorized official is Diane Berger .
The authorized official title is Credentialing and has the following contact phone number (224) 273-8908.

The CLIA number assigned to this NPI record is 14D0941482 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2021 and was last updated on 6/8/2021.

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	261QR1300X	Clinic/Center	Rural Health			Yes

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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