Organization Active NPI

Avalcare

  • Infusion Therapy Clinic/Center
  • Belleville, IL
National Provider Identifier
1013526607
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
AVALCARE
Practice address
1 Royal Heights Ctr
Belleville, IL 62226-5705
Phone
(618) 233-0100
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdul Rahman Almousalli
Title
Part-Owner
Phone
(618) 233-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

1 Royal Heights Ctr
Belleville, IL 62226-5705

Mailing address

1 Royal Heights Ctr
Belleville, IL 62226-5705

National Provider Directory

National Provider Directory

Locations

1 Royal Heights Ctr
Belleville, IL 62226
Phone (618) 233-0100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1013526607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROYAL HEIGHTS CTR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROYAL HEIGHTS CTR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265705",
            "telephone_number": "618-233-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "ALMOUSALLI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "RAHMAN",
        "authorized_official_title_or_position": "PART-OWNER",
        "authorized_official_telephone_number": "618-233-0100"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.