NPIMap

Organization Active NPI

Alton Memorial Physician Billing Services, LLC

  • Primary Care Clinic/Center
  • Godfrey, IL
National Provider Identifier
1235550294
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ALTON MEMORIAL PHYSICIAN BILLING SERVICES, LLC
Practice address
5520 Godfrey Rd
Godfrey, IL 62035-2741
Phone
(618) 463-7800
NPI assigned
Dec 18, 2013
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Mr. David A Braasch
Title
President
Phone
(618) 463-7301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5520 Godfrey Rd
Godfrey, IL 62035-2741

Mailing address

1 Memorial Dr
Alton, IL 62002-6722

National Provider Directory

National Provider Directory

Locations

4700 Memorial Dr
Ste W1
Belleville, IL 62226

5520 Godfrey Rd
Godfrey, IL 62035
Phone (618) 463-7800

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1235550294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352741",
            "telephone_number": "618-463-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON MEMORIAL PHYSICIAN BILLING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BRAASCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-463-7301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Godfrey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.