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Contact Information

GREENBRIER LODGE, INC.
600 S. MAPLE STREET
PIPER CITY, IL60959
 Phone: 815-686-2277
 Fax: 815-686-2812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for GREENBRIER LODGE, INC.

NPI Number 1184774465
LBN Legal business name GREENBRIER LODGE, INC.
Authorized official CRAIG ATER - (SENIOR V.P. OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL License # 0044487
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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