FOUR FOUNTAINS CONVALESCENT CENTER; NPI #1366436453

Contact Information

FOUR FOUNTAINS CONVALESCENT CENTER

101 S BELT W
BELLEVILLE, IL 62220-2503

Phone: 618-277-7700
Fax: 618-355-4050
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Home Administrator	376G00000X

Indicates primary specialty

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NPI Profile & details for FOUR FOUNTAINS CONVALESCENT CENTER

NPI Number 1366436453

LBN Legal business name FOUR FOUNTAINS CONVALESCENT CENTER

Authorized official HOPE MCNITT - (LICENSED NURSING HOME ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/06/2005

Last updated 03/24/2009 - About 17 years ago

Identifiers

License #

0030304

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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FOUR FOUNTAINS CONVALESCENT CENTER

Contact Information

Specialty

Nursing Home Administrator

NPI Profile & details for FOUR FOUNTAINS CONVALESCENT CENTER

Reviews for FOUR FOUNTAINS CONVALESCENT CENTER