National Provider Identifier Database

NORRIS CITY HEALTH CLINIC
Rural Health


Contact Information

NORRIS CITY HEALTH CLINIC
110 EAST MAIN ST
NORRIS CITY, IL62869
Phone: 618-378-3440
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for NORRIS CITY HEALTH CLINIC

NPI Number 1326274325
Legal business name
LBN
NORRIS CITY HEALTH CLINIC
Authorized official JOGENDRA CHHABRA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/04/2009
Last updated 06/04/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 36-112433
  • IL Medicaid: 120821814001

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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