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Contact Information

SURGICAL ASSOCIATES OF MT VERNON, LTD
2 GOOD SAMARITAN WAY
SUITE 235
MOUNT VERNON, IL62864
 Phone: 618-899-3980
 Fax: 618-899-4793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SURGICAL ASSOCIATES OF MT VERNON, LTD

NPI Number 1790827491
LBN Legal business name SURGICAL ASSOCIATES OF MT VERNON, LTD
Authorized official ANNETTE SHORES - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2007
Last updated 01/24/2014 - About 12 years ago
Identifiers n/a
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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