Lawrence Community Healthcare

Organization Active NPI Private Vehicle · Bridgeport, IL

NPI 1801048855 · NPPES record last updated Oct 21, 2008

Key facts

NPI
1801048855
Entity type
Organization (NPI type 2)
Primary specialty
Private Vehicle 347C00000X
License
0045617 (IL)
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
Organization subpart
No

Authorized official

Name
Mrs. Terri L Frizzi
Title
Assistant Administrator
Phone
(618) 945-2091

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lawrence Community Healthcare (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 0045617 IL Yes

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

Other providers in Bridgeport, IL

All providers in Bridgeport, IL · Private Vehicle in Illinois

Sources for this page

Verify at the official NPI Registry.