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Contact Information

GENERAL BAPTIST NURSING HOME OF ILLINOIS
1320 W. 9TH STREET
MOUNT CARMEL, IL62863
 Phone: 618-263-4337
 Fax: 618-262-7080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for GENERAL BAPTIST NURSING HOME OF ILLINOIS

NPI # 1417028168
LBN Legal business name GENERAL BAPTIST NURSING HOME OF ILLINOIS
Authorized official SCOTT COLE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 07/01/2015 - About 11 years ago
Identifiers
IL License # 0026328
IL Medicaid 0026328
IL Medicaid 371104053628
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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