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Contact Information

AMERICAN LUTHERAN CHURCH MENDOTA
500 6TH ST
MENDOTA, IL61342-1728
 Phone: 815-539-7439
 Fax: 815-538-3400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for AMERICAN LUTHERAN CHURCH MENDOTA

NPI Number 1801850177
LBN Legal business name AMERICAN LUTHERAN CHURCH MENDOTA
Authorized official ERICA FALK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2006
Last updated 02/26/2019 - About 7 years ago
Identifiers
IL License # 0011593
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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