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Contact Information

WARREN G MURRAY DEVELOPMENTAL CTR
1535 W MCCORD ST
CENTRALIA, IL62801-5805
 Phone: 618-532-1911
 Fax: 618-532-7464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for WARREN G MURRAY DEVELOPMENTAL CTR

NPI Number 1679626550
LBN Legal business name WARREN G MURRAY DEVELOPMENTAL CTR
Authorized official TARA TIMMONS - (PHARMACY MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2007
Last updated 12/19/2018 - About 7 years ago
Identifiers
IL License # 054017317
IL License # 059005407
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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