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HSHS MEDICAL GROUP INC NPI 1851536296


NPI Information

NPI: 1851536296
Provider Name: HSHS MEDICAL GROUP INC

Doing Business As: HSHS MEDICAL GROUP INC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D1053108

Address:
12860 TROXLER AVENUE
HIGHLAND, IL
ZIP 62249
Phone: (618) 651-2810
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HSHS MEDICAL GROUP INC is a rural health clinic center in Highland, IL. HSHS MEDICAL GROUP INC NPI is 1851536296. The provider is registered as an organization entity type.
The provider Is Doing Business As Hshs Medical Group Inc.

The provider's business location address is:

12860 TROXLER AVENUE
HIGHLAND, IL
ZIP 62249-806
Phone: (618) 651-2810
Fax: (618) 651-0077

The provider's authorized official is Melinda Clark .
The authorized official title is Ceo and has the following contact phone number (618) 651-2860.

The CLIA number assigned to this NPI record is 14D1053108 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2008 and was last updated on 7/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural Health036111703ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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