Active NPI
Lawrence Community Healthcare
- Private Vehicle
- Bridgeport, IL
National Provider Identifier
1801048855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 0045617
- Legal business name
- LAWRENCE COMMUNITY HEALTHCARE
- Practice address
- 900 Corporation Line St
Bridgeport, IL 62417-2206 - Phone
- (618) 945-2091
- NPI assigned
- Oct 21, 2008
- Last updated
- Oct 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Terri L Frizzi
- Title
- Assistant Administrator
- Phone
- (618) 945-2091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 0045617 | IL | Primary |
Addresses
Primary practice location
900 Corporation Line St
Bridgeport, IL 62417-2206
Mailing address
900 Corporation Line St
Bridgeport, IL 62417-2206
Phone (618) 945-2091
National Provider Directory
National Provider Directory- Tax ID family
- Lawrence Community Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Bridgeport, IL
- NPI 1366694317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1801048855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CORPORATION LINE ST",
"city": "BRIDGEPORT",
"state": "IL",
"postal_code": "624172206",
"telephone_number": "618-945-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CORPORATION LINE ST",
"city": "BRIDGEPORT",
"state": "IL",
"postal_code": "624172206",
"telephone_number": "618-945-2091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE COMMUNITY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "FRIZZI",
"authorized_official_first_name": "TERRI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "618-945-2091",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "IL",
"license": "0045617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.