ALTON MULTISPECIALISTS LTD. NPI 1942312442

NPI Information

NPI: 1942312442
Provider Name: ALTON MULTISPECIALISTS, LTD.
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
1 PROFESSIONAL DR
ALTON, IL
ZIP 62002
Phone: (618) 463-8500
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ALTON MULTISPECIALISTS, LTD. is a radiology and mammography clinic center in Alton, IL. ALTON MULTISPECIALISTS, LTD. NPI is 1942312442. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 PROFESSIONAL DR
ALTON, IL
ZIP 62002-068
Phone: (618) 463-8500
Fax: (618) 474-0130

The provider's authorized official is Sherri R Henson .
The authorized official title is Executive Director and has the following contact phone number (618) 463-8634.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/30/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		036-071248	ILLINOIS	No
2	261QR0206X	Clinic/Center	Radiology, Mammography	100867	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0317160001	OTHER		MEDICARE DME SUPPLIER
2	06015403	OTHER	ILLINOIS	BLUE CROSS/BLUE SHIELD
3	687340	OTHER	ILLINOIS	PTAN
4	207219	OTHER	ILLINOIS	PTAN
5	687340	MEDICARE PIN	ILLINOIS
6	207219	MEDICARE PIN	ILLINOIS

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

NPI Synchronization or Removal

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