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Contact Information

ACE MEDICAL SERVICES LLC
929 RIDGECREST DR
BELLEVILLE, IL62220-3163
 Phone: 618-340-3225
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ACE MEDICAL SERVICES LLC

NPI Number 1144753096
LBN Legal business name ACE MEDICAL SERVICES LLC
Authorized official KATRINA SMITH - (ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2017
Last updated 04/07/2017 - About 9 years ago
Identifiers
IL License # 209011911
IL Medicaid 209011911
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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