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ALTON-GRIFFIN EMERGENCY GROUP PC NPI 1891104824


NPI Information

NPI: 1891104824
Provider Name: ALTON-GRIFFIN EMERGENCY GROUP PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1 SAINT ANTHONYS WAY
ALTON, IL
ZIP 62002
Phone: (800) 893-9698
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ALTON-GRIFFIN EMERGENCY GROUP PC is an emergency medicine in Alton, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ALTON-GRIFFIN EMERGENCY GROUP PC NPI is 1891104824. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 SAINT ANTHONYS WAY
ALTON, IL
ZIP 62002-568
Phone: (800) 893-9698

The provider's authorized official is Derik King .
The authorized official title is President and has the following contact phone number (800) 893-9698.

The enumeration date for this NPI number is 8/4/2014 and was last updated on 5/13/2021.


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
1207P00000XEmergency MedicineYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17132908MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.