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Contact Information

GRAYBRIDGE HEALTH, NFP
520 E LINCOLN AVE
LIBERTYVILLE, IL60048-2923
 Phone: 224-360-7103
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Meals

174200000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for GRAYBRIDGE HEALTH, NFP

NPI Number 1811607138
LBN Legal business name GRAYBRIDGE HEALTH, NFP
Authorized official KENNETH GRAYER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2022
Last updated 11/28/2022 - About 4 years ago
Identifiers
Other 0 NA
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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