Little Egypt Surgical Assisting L.L.C
Organization Active NPI General Acute Care Hospital · Fairfield, IL
NPI 1295950103 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1295950103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 0041-282852 (IL)
- Legal business name
- LITTLE EGYPT SURGICAL ASSISTING L.L.C
- Practice address
- 1207 N 1St St
Box721
Fairfield, IL 62837-2466 - Phone
- (618) 237-8770
- Fax
- (618) 847-4206
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Denise Renae Sons, RN,CNOR,CRNFA
- Title
- Cert. Reg. Nurse First Assistant
- Phone
- (618) 237-8770
Practitioners 1
-
Denise Renae Sons, RN,CNOR,CRNFA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0041-282852 | IL | Yes |
Addresses
Primary practice location
1207 N 1St St
Box721
Fairfield, IL 62837-2466
Mailing address
1207 N 1St St
Box721
Fairfield, IL 62837-2466
Phone (618) 237-8770
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.