ADVOCATE ILLINOIS MASONIC MEDICAL CENTER; NPI #1104062462

Contact Information

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

3632 WIRTH RD
HIGHLAND, IN 46322-2218

Phone: 219-923-1263
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access	282NC0060X	A0[7]	Critical Access Hospital

Indicates primary specialty

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NPI Profile & details for ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

NPI Number 1104062462

LBN Legal business name ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

Authorized official DONNA KING - (CLINICAL OPERATIONS AND CHIEF NURSI)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/16/2008

Last updated 12/16/2008 - About 17 years ago

Identifiers

License #

041.247086

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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