National Provider Identifier Database

MADISON PARK CHRISTIAN CHURCH
Voluntary or Charitable


Contact Information

MADISON PARK CHRISTIAN CHURCH
4700 BROADWAY ST
QUINCY, IL62305-9112
Phone: 217-222-2529
Fax: 217-222-2895
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for MADISON PARK CHRISTIAN CHURCH

NPI Number 1649453283
Legal business name
LBN
MADISON PARK CHRISTIAN CHURCH
Authorized official GLEN SACKETT - (PREACHING MINISTER)
Entity Organization
Organization subpart No
Enumeration date 12/05/2007
Last updated 06/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 001320049 BLUE CROSS/BLUE SHIELD
  • IL Other: 344905000 MAGELLAN HEALTH SERVICES

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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