NORRIS CITY HEALTH CLINIC; NPI #1326274325

Contact Information

NORRIS CITY HEALTH CLINIC

110 EAST MAIN ST
NORRIS CITY, IL 62869

Phone: 618-378-3440
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for NORRIS CITY HEALTH CLINIC

NPI # 1326274325

LBN Legal business name NORRIS CITY HEALTH CLINIC

Authorized official JOGENDRA CHHABRA - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/04/2009

Last updated 06/04/2009 - About 17 years ago

Identifiers

IL	License #	36-112433
IL	Medicaid	120821814001

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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