Cal-Park Health Associates LTD

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CAL-PARK HEALTH ASSOCIATES LTD

Doing business as

Calumet Park Medical Center

Practice address

1328 W 127TH Street
Calumet Park, IL 60827-6129

Phone

(708) 389-3636

Fax

(708) 389-8956

NPI assigned

Sep 8, 2006

Last updated

Apr 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dorlene Williams, MA

Title

Office Manager

Phone

(708) 389-3636

Specialties & licenses 1

Addresses

Other names 1

• Calumet Park Medical Center Doing business as

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1902900251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 W 127TH STREET",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276129",
            "telephone_number": "708-389-3636",
            "fax_number": "708-389-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 W 127TH STREET",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276129",
            "telephone_number": "708-389-3636",
            "fax_number": "708-389-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL-PARK HEALTH ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DORLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-389-3636",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calumet Park Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Calumet Park, IL
• Providers in Calumet Park, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.