National Provider Identifier Database

EDWARD HINES JR VA HOSPITAL
Military General Acute Care Hospital

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.


Contact Information

EDWARD HINES JR. VA HOSPITAL
5000 S 5TH AVE
HINES, IL60141-3030
Phone: 708-202-8387
Fax: 708-202-2252
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital 2865M2000X

* Indicates primary specialty

NPI Profile & details for EDWARD HINES JR. VA HOSPITAL

NPI Number 1013440361
Legal business name
LBN
EDWARD HINES JR. VA HOSPITAL
Authorized official TERESA UEMURA - (NUTRITION SUPPORT DIETITIAN)
Entity Organization
Organization subpart No
Enumeration date 04/04/2017
Last updated 04/04/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 164.003239

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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