Active NPIOrganization

Brookstone Of Emerald Glen Of Olney, LLC

Point of Service in Olney, Illinois

NPI Number1326299587
Practice location
1301 N East St, Olney, IL 62450-2430
Fax
618-392-6313
Last updated
October 7, 2008

Brookstone Of Emerald Glen Of Olney, LLC is a healthcare organization based in Olney, IL. Brookstone Of Emerald Glen Of Olney, LLC practices in Olney, IL. The NPI Number for Brookstone Of Emerald Glen Of Olney, LLC is 1326299587. The current practice location address for Brookstone Of Emerald Glen Of Olney, LLC is 1301 N East St, Olney, IL 62450-2430 and can be reached out via phone at 618-395-4663 and via fax at 618-392-6313.

Provider Profile Details

NPI Number
1326299587
Provider Name
Brookstone Of Emerald Glen Of Olney, LLC
Provider Entity Type
Organization
Address
1301 N East St, Olney, IL 62450-2430
Phone Number
618-395-4663
Fax Number
618-392-6313
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Mr. John Holtz · Controller · 541-747-3373
Provider Enumeration Date
October 7, 2008
Last Update Date
October 7, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1301 N East St
Olney, IL 62450-2430
City
Olney
Zip
62450-2430
Phone Number
618-395-4663
Fax Number
618-392-6313
Olney, IL 62450Get directions →

Provider Business Mailing Address Details

Address
78 Centennial Loop
Eugene, OR 97401-7900
City
Eugene
State
OR
Zip
97401-7900
Phone Number
541-747-3373
Fax Number
541-868-8447

License Information

Taxonomy
Point of Service · 305S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brookstone Of Emerald Glen Of Olney, LLC?

The NPI number of Brookstone Of Emerald Glen Of Olney, LLC is 1326299587. It was assigned on October 7, 2008 and is currently active in the NPPES registry.

What is the specialty of Brookstone Of Emerald Glen Of Olney, LLC?

Brookstone Of Emerald Glen Of Olney, LLC is registered under the primary taxonomy Point of Service (code 305S00000X).

Where does Brookstone Of Emerald Glen Of Olney, LLC practice?

The practice location is 1301 N East St, Olney, IL 62450-2430. The office can be reached at 618-395-4663 (phone) or 618-392-6313 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326299587 directly on the NPPES registry website.

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