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Contact Information

HARRISBURG FAMILY PRACTICE LTD
7211 US HIGHWAY 45 S
SUITE C
CARRIER MILLS, IL62917
 Phone: 618-994-2321
 Fax: 618-994-2030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HARRISBURG FAMILY PRACTICE LTD

NPI # 1174661870
LBN Legal business name HARRISBURG FAMILY PRACTICE LTD
Authorized official MICHELLE BOATRIGHT - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 05/08/2008 - About 18 years ago
Identifiers
IL License # 036112962
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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